Active NPI
Roberta Morris, LMSW
- Social Worker
- Bay Shore, NY
National Provider Identifier
1770875361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 082344
- Practice address
- 269 W Main St
2ND Floor
Bay Shore, NY 11706-8319 - Phone
- (631) 666-1951
- Fax
- (631) 593-5472
- NPI assigned
- May 14, 2011
- 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 | 082344 | NY | Primary |
Addresses
Primary practice location
269 W Main St
2ND Floor
Bay Shore, NY 11706-8319
Mailing address
36 Island Rd
Sound Beach, NY 11789-1944
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 |
|---|---|---|---|
| 082344 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butterfly LCSW PC | Social Worker | Past | 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.
-
- Clinical Social Worker
- Bay Shore, NY
- NPI 1023349297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1770875361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 ISLAND RD",
"city": "SOUND BEACH",
"state": "NY",
"postal_code": "117891944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 W MAIN ST",
"address_2": "2ND FLOOR",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068319",
"telephone_number": "631-666-1951",
"fax_number": "631-593-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ROBERTA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-14",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.