Individual provider Active NPI

Keith Morgan, MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1487063657
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018501 Issued in IL
Practice address
6934 N Glenwood Ave Apt B1
Chicago, IL 60626-3854
Phone
(312) 757-1351
NPI assigned
Aug 12, 2014
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 149.018501 IL Primary

Addresses

Primary practice location

6934 N Glenwood Ave Apt B1
Chicago, IL 60626-3854

Mailing address

1286 N Milwaukee Ave Ste 3
Chicago, IL 60622-9319
Phone (773) 599-2822

Other practice location 1

1286 N Milwaukee Ave Ste 3
Chicago, IL 60622-9319
Phone (773) 599-2822

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
149.018501ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Mental Health & College Counseling, LLC Clinical Current Accepting new patients

Locations

1286 N Milwaukee Ave
Ste 3
Chicago, IL 60622
Phone (312) 757-1351

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1487063657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 N MILWAUKEE AVE STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229319",
            "telephone_number": "773-599-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 N GLENWOOD AVE APT B1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263854",
            "telephone_number": "312-757-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1286 N Milwaukee Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606229319",
            "country_code": "US",
            "telephone_number": "773-599-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.