Active NPI
Kathleen Morris, L.C.S.W
- Clinical Social Worker
- South Waverly, PA
National Provider Identifier
1487615860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW009193-L
- Practice address
- 356 Loder St
South Waverly, PA 18840-2611 - Phone
- (570) 882-7414
- Fax
- (570) 888-1204
- NPI assigned
- Mar 28, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW009193-L | PA | Primary |
Addresses
Primary practice location
356 Loder St
South Waverly, PA 18840-2611
Mailing address
356 Loder St
South Waverly, PA 18840-2611
Phone (570) 882-7414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW009193-L | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487615860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 LODER ST",
"city": "SOUTH WAVERLY",
"state": "PA",
"postal_code": "188402611",
"telephone_number": "570-882-7414",
"fax_number": "570-888-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 LODER ST",
"city": "SOUTH WAVERLY",
"state": "PA",
"postal_code": "188402611",
"telephone_number": "570-882-7414",
"fax_number": "570-888-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW009193-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Waverly, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.