Active NPI
Noble Clinic, LLC
- Clinical Social Worker
- Pittsburg, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0759
- Legal business name
- NOBLE CLINIC, LLC
- Practice address
- 1322 S Broadway St
Pittsburg, KS 66762-5836 - Phone
- (620) 249-5443
- NPI assigned
- Jun 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Michelle Coulter Morrell, LSCSW
- Title
- Owner
- Phone
- (620) 249-5443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0759 | KS | Primary |
Addresses
Primary practice location
1322 S Broadway St
Pittsburg, KS 66762-5836
Mailing address
1007 S Olive St
Pittsburg, KS 66762-5622
Phone (620) 249-5443
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104036110 | Other | NPI | |
| 12368901 | Other | CAQH | |
| 1447684931 | Other | KS | NPI |
| 1447684931 | Medicaid | KS | |
| 200442400D | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
1322 S Broadway St
Pittsburg, KS 66762
Phone (620) 249-5443
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Pittsburg, KS
- NPI 1447684931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1750810933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 S OLIVE ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667625622",
"telephone_number": "620-249-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 S BROADWAY ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667625836",
"telephone_number": "620-249-5443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-09",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "COULTER MORRELL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-249-5443",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LSCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "0759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104036110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12368901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1447684931",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447684931",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200442400D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.