Individual provider Active NPI

Morgan Colleen Kinney, LCSWA

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1467126805
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017354 Issued in NC
Practice address
1355 E Garrison Blvd
Gastonia, NC 28054-5143
Phone
(980) 430-9205
NPI assigned
Aug 8, 2021
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 C017354 NC Primary

Addresses

Primary practice location

1355 E Garrison Blvd
Gastonia, NC 28054-5143

Mailing address

230 Goldsboro St SW Apt 117
Wilson, NC 27893-4979

Other practice location 1

3117 Poplarwood Ct Ste 350
Raleigh, NC 27604-6446
Phone (858) 079-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241218004148 NC Practitioner - Clinical Social Worker 4880121565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017354NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Piedmont Counseling PLLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

1355 E Garrison Blvd
Ste A
Gastonia, NC 28054
Phone (980) 430-9205

125 Overhill Dr
Ste 105
Mooresville, NC 28117
Phone (704) 651-5124

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": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1467126805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GOLDSBORO ST SW APT 117",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545143",
            "telephone_number": "980-430-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3117 Poplarwood Ct Ste 350",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276046446",
            "country_code": "US",
            "telephone_number": "858-079-0919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "MORGAN",
        "middle_name": "COLLEEN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.