Individual provider Active NPI

Adam Morgan, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1730984766
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31545 Issued in MN
Practice address
209 Snelling Ave N
Saint Paul, MN 55104-6326
Phone
(612) 208-2633
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31545 MN Primary

Addresses

Primary practice location

209 Snelling Ave N
Saint Paul, MN 55104-6326

Mailing address

2105 Village LN Apt C3
Saint Paul, MN 55116-3850
Phone (563) 542-2225

Other practice location 1

2105 Village Ln Apt C3
Saint Paul, MN 55116-3850
Phone (563) 542-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250320001549 MN Practitioner - Clinical Social Worker 7416479324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virta Therapy Collective LLCGroup PAC ID 7618418260, 10 clinicians

Practice addresses (Care Compare)

209 Snelling Ave N
Saint Paul, MN 55104-6326
Phone (608) 709-8986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virta Therapy Collective LLC Clinical CurrentSince Mar 1, 2025 Accepting new patients

Locations

209 Snelling Ave N
Saint Paul, MN 55104
Phone (608) 709-8986

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.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1730984766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 VILLAGE LN APT C3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163850",
            "telephone_number": "563-542-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046326",
            "telephone_number": "612-208-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Village Ln Apt C3",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551163850",
            "country_code": "US",
            "telephone_number": "563-542-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ADAM",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.