Active NPI
Gary Alan Morgan, LCSW
- Clinical Social Worker
- Vincennes, IN
National Provider Identifier
1518067008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002196A
- Practice address
- 2087 N State Road 67
Vincennes, IN 47591-6827 - Phone
- (812) 886-4899
- Fax
- (812) 886-4884
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 34002196A | IN | Primary |
Addresses
Primary practice location
2087 N State Road 67
Vincennes, IN 47591-6827
Mailing address
2087 N State Road 67
Vincennes, IN 47591-6827
Phone (812) 886-4899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34002196A | Other | IN | LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002196A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518067008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2087 N STATE ROAD 67",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475916827",
"telephone_number": "812-886-4899",
"fax_number": "812-886-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2087 N STATE ROAD 67",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475916827",
"telephone_number": "812-886-4899",
"fax_number": "812-886-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "GARY",
"middle_name": "ALAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002196A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "34002196A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.