Individual provider Active NPI

John Victor Morrel, LCSW-S

  • Social Worker
  • Austin, TX
National Provider Identifier
1508087784
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
32307 Issued in TX
Practice address
3308 Norwood Hill Rd
Austin, TX 78723-5432
Phone
(512) 517-1323
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 32307 TX Primary

Addresses

Primary practice location

3308 Norwood Hill Rd
Austin, TX 78723-5432

Mailing address

3308 Norwood Hill Rd
Austin, TX 78723-5432
Phone (512) 517-1323

Other identifiers 1

IdentifierTypeStateIssuer
149218502MedicaidTX

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
32307TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1508087784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 NORWOOD HILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235432",
            "telephone_number": "512-517-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 NORWOOD HILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235432",
            "telephone_number": "512-517-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORREL",
        "first_name": "JOHN",
        "middle_name": "VICTOR",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "32307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149218502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.