Individual provider Active NPI

Diane N Morris, LCSW

  • Clinical Social Worker
  • Logan, UT
National Provider Identifier
1457909889
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11779985-3501 Issued in UT
Practice address
193 E 1600 N
Logan, UT 84341-1969
Phone
(435) 279-6036
Fax
(435) 753-9047
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 11779985-3501 UT Primary

Addresses

Primary practice location

193 E 1600 N
Logan, UT 84341-1969

Mailing address

115 Golf Course Road
Suite a
Logan, UT 84321-5951
Phone (435) 279-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11779985-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Counseling CurrentSince Dec 10, 2023 Accepting new patients
Ora Counseling CurrentSince Feb 2, 2025 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc PastSince Dec 10, 2023 Accepting new patients
LDS Family Services PastSince Sep 1, 2019 Accepting new patients

Locations

115 Golf Course Rd
Ste A
Logan, UT 84321
Phone (435) 279-6036

193 E 1600 N
North Logan, UT 84341
Phone (435) 279-6036

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1457909889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GOLF COURSE ROAD",
            "address_2": "SUITE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215951",
            "telephone_number": "435-279-6036",
            "fax_number": "435-753-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 E 1600 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411969",
            "telephone_number": "435-279-6036",
            "fax_number": "435-753-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DIANE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11779985-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.