Organization Active NPI

Charli Morris LLC

  • Social Worker
  • Paoli, PA
National Provider Identifier
1497322911
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CHARLI MORRIS LLC
Practice address
53 Darby Rd FL 2
Paoli, PA 19301-1480
Phone
(610) 854-8464
Fax
(610) 561-5471
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Charlisha Morris, LCSWNPI 1144455056
Title
Provider
Phone
(917) 648-2972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

53 Darby Rd FL 2
Paoli, PA 19301-1480

Mailing address

53 Darby Rd FL 2
Paoli, PA 19301-1480
Phone (610) 854-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501000175 PA Part B Supplier - Clinic/Group Practice 6901246461 Receives reassigned benefits from 1 practitioner
Practice locations: Paoli, PA

National Provider Directory

National Provider Directory

Locations

24 W Central Ave
Paoli, PA 19301
Phone (484) 615-3155

53 Darby Rd
Fl 2
Paoli, PA 19301
Phone (610) 854-8464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1497322911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DARBY RD FL 2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011480",
            "telephone_number": "610-854-8464",
            "fax_number": "610-561-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DARBY RD FL 2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011480",
            "telephone_number": "610-854-8464",
            "fax_number": "610-561-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLI MORRIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CHARLISHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "917-648-2972",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.