Active NPI
Carolyn Ann Morris, LSW
- Social Worker
- West Carrollton, OH
National Provider Identifier
1578282414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0015884
- Practice address
- 700 Liberty LN
West Carrollton, OH 45449-2135 - Phone
- (937) 247-2400
- Fax
- (937) 247-2424
- NPI assigned
- Aug 24, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0015884 | OH | Primary |
Addresses
Primary practice location
700 Liberty LN
West Carrollton, OH 45449-2135
Mailing address
1169 Ripplecreek CT
Washington Township, OH 45458-3229
Phone (937) 469-5740
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0015884 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Journeys | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Englewood, OH
- NPI 1851177059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1578282414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 RIPPLECREEK CT",
"city": "WASHINGTON TOWNSHIP",
"state": "OH",
"postal_code": "454583229",
"telephone_number": "937-469-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LIBERTY LN",
"city": "WEST CARROLLTON",
"state": "OH",
"postal_code": "454492135",
"telephone_number": "937-247-2400",
"fax_number": "937-247-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CAROLYN",
"middle_name": "ANN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0015884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.