Individual provider Active NPI

Rebecca Morris, LCSW

  • Clinical Social Worker
  • Hinesville, GA
National Provider Identifier
1780701482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003784 Issued in GA
Practice address
215 E Court St
Hinesville, GA 31313-3606
Phone
(912) 876-4010
Fax
(912) 369-2262
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003784 GA Primary

Addresses

Primary practice location

215 E Court St
Hinesville, GA 31313-3606

Mailing address

215 E Court St
Hinesville, GA 31313-3606
Phone (912) 876-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20131018001823 GA Practitioner - Clinical Social Worker 9436384831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darsey, Black and AssociatesGroup PAC ID 2264667666, 4 clinicians

Practice addresses (Care Compare)

101 E Memorial Dr
Unit B
Hinesville, GA 31313-2727

101 E Memorial Dr Unit B
Hinesville, GA 31313-2727
Phone (912) 876-4010

215 E Court St
Hinesville, GA 31313-3606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003784GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Darsey, Black & Associates CurrentSince Aug 6, 2013 Accepting new patients
Atlantic Counseling Services PastSince Apr 28, 2022 Accepting new patients

Locations

101 E Memorial Dr
Ste B
Hinesville, GA 31313
Phone (912) 876-4010

215 E Court St
Hinesville, GA 31313
Phone (912) 876-4010

101 E Memorial Dr
Hinesville, GA 31313
Phone (912) 368-0272

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780701482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E COURT ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133606",
            "telephone_number": "912-876-4010",
            "fax_number": "912-369-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E COURT ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133606",
            "telephone_number": "912-876-4010",
            "fax_number": "912-369-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.