Individual provider Active NPI

Morgan G Stevens Jr.

  • Social Worker
  • Evanston, IL
National Provider Identifier
1770984932
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149020416 Issued in IL
Practice address
618 Library PL
Evanston, IL 60201
Phone
(847) 733-4300
NPI assigned
Sep 8, 2014
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 67274 CA
Social Worker 104100000X 101058 NY
Social Worker 104100000X 149020416 IL Primary
Clinical Social Worker 1041C0700X 1770984932 NY
Clinical Social Worker 1041C0700X 149020416 IL
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

618 Library PL
Evanston, IL 60201

Mailing address

618 Library PL
Evanston, IL 60201-2908
Phone (847) 733-4300

Other practice location 1

2101 Magnolia Ave
Long Beach, CA 90806-4521
Phone (562) 218-1868

Other practice location 2

10470 Queens Blvd Fl 2
Forest Hills, NY 11375-3638
Phone (718) 275-6010

Other practice location 3

10470 Queens Blvd Fl 2
Forest Hills, NY 11375-3638
Phone (718) 275-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 10, 2018 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
67274CAMDMental Health Counselor
101058NYMDSocial Worker
149020416ILMDClinical Social Worker
1770984932NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Stevens LLC Social Worker CurrentSince Dec 1, 2020 Accepting new patients
The Family Institute Clinical PastSince Jun 6, 2016 Accepting new patients

Locations

4803 N Milwaukee Ave
Ste B
Chicago, IL 60630
Phone (773) 270-1187

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1770984932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 LIBRARY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012908",
            "telephone_number": "847-733-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LIBRARY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-733-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908064521",
            "country_code": "US",
            "telephone_number": "562-218-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10470 Queens Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753638",
            "country_code": "US",
            "telephone_number": "718-275-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10470 Queens Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753638",
            "country_code": "US",
            "telephone_number": "718-275-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MORGAN",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "67274",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101058",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149020416",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "1770984932",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020416",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.