Individual provider Active NPI

Kenethia Louise Morgan, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1699112979
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
16318 Blue Rock Springs Dr
Houston, TX 77073-5602
Phone
(504) 270-6615
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

16318 Blue Rock Springs Dr
Houston, TX 77073-5602

Mailing address

16318 Blue Rock Springs Dr
Houston, TX 77073-5602
Phone (504) 270-6615

Other practice location 1

2626 Charles Dr
Chalmette, LA 70043-3779
Phone (504) 278-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205001070 TX Practitioner - Clinical Social Worker 6507100377 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Clinical CurrentSince Jul 18, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

Interoperability endpoints

  • Direct secure messaging: kenethiamorgan@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1699112979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16318 BLUE ROCK SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770735602",
            "telephone_number": "504-270-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 BLUE ROCK SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770735602",
            "telephone_number": "504-270-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Charles Dr",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700433779",
            "country_code": "US",
            "telephone_number": "504-278-4006",
            "fax_number": "504-278-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KENETHIA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.