Individual provider Active NPI

Morgan Lynn Herron, LCSW

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1487164364
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090899-01 Issued in NY
Practice address
950 Danby Rd Ste 202F
Ithaca, NY 14850-5714
Phone
(607) 260-3100
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101394-1 NY
Clinical Social Worker 1041C0700X 090899-01 NY Primary

Addresses

Primary practice location

950 Danby Rd Ste 202F
Ithaca, NY 14850-5714

Mailing address

950 Danby Rd Ste 202F
Ithaca, NY 14850-5714
Phone (607) 260-3100

Other practice location 1

5 Court Street Suite 42
Chenango County Community Mental Hygiene Services
Norwich, NY 13815
Phone (607) 337-1600

Other names 1

  • Morgan Lynn Muller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 8, 2022 through Dec 8, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090899-01NYMDClinical Social Worker
101394-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Psychology, LLP CurrentSince Jul 31, 2022 Accepting new patients
Mindwell Psychological Assessment, LLP PastSince Jun 21, 2022 Accepting new patients

Locations

950 Danby Rd
Ste 202F
Ithaca, NY 14850
Phone (607) 260-3100

Organizations & group practices 2

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1487164364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DANBY RD STE 202F",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505714",
            "telephone_number": "607-260-3100",
            "fax_number": "607-334-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANBY RD STE 202F",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505714",
            "telephone_number": "607-260-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Court Street Suite 42",
            "address_2": "Chenango County Community Mental Hygiene Services",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "NY",
            "postal_code": "13815",
            "country_code": "US",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "MORGAN",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101394-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090899-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "MULLER",
            "middle_name": "LYNN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.