Individual provider Active NPI

Scott M Morgan, L.I.C.S.W.

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1437159712
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116378 Issued in MN
Practice address
600 Reed St
Suite 115
Mankato, MN 56001-6410
Phone
(507) 625-4060
Fax
(507) 625-3915
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116378 MN Primary

Addresses

Primary practice location

600 Reed St
Suite 115
Mankato, MN 56001-6410

Mailing address

PO Box 125
Eagle Lake, MN 56024-0125

Other identifiers 4

IdentifierTypeStateIssuer
130980D113OtherMNUCARE OF MINNESOTA
HP42080OtherMNHEALTH PARTNERS
415T2MOOtherMNBLUE CROSS BLUE SHIELD
834629100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000035 MN Practitioner - Clinical Social Worker 0840191755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eunoia Family Resource Center PAGroup PAC ID 7214003680, 10 clinicians

Practice addresses (Care Compare)

1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116378MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eunoia Family Resource Center PA CurrentSince Nov 15, 2017 Accepting new patients

Locations

1420 N State St
Fairmont, MN 56031
Phone (507) 235-6070

521 Pfau St
Mankato, MN 56001
Phone (507) 344-0621

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1437159712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560240125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REED ST",
            "address_2": "SUITE 115",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016410",
            "telephone_number": "507-625-4060",
            "fax_number": "507-625-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "116378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MINNESOTA",
            "identifier": "130980D113",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP42080",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "415T2MO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834629100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.