Active NPI
Keith D Morehouse, LCSW
- Clinical Social Worker
- Amarillo, TX
National Provider Identifier
1790745453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29988
- Practice address
- 901 Wallace Blvd
Building 501
Amarillo, TX 79106-1705 - Phone
- (806) 351-3200
- Fax
- (806) 351-3344
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29988 | TX | Primary |
Addresses
Primary practice location
901 Wallace Blvd
Building 501
Amarillo, TX 79106-1705
Mailing address
901 Wallace Blvd
Building 501
Amarillo, TX 79106-1705
Phone (806) 351-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87495Q | Other | TX | BLUE CROSS NUMBER WITH GR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29988 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790745453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WALLACE BLVD",
"address_2": "BUILDING 501",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061705",
"telephone_number": "806-351-3200",
"fax_number": "806-351-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WALLACE BLVD",
"address_2": "BUILDING 501",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061705",
"telephone_number": "806-351-3200",
"fax_number": "806-351-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREHOUSE",
"first_name": "KEITH",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "29988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER WITH GR",
"identifier": "87495Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.