Individual provider Active NPI

Mor Xiong Popper, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1790914505
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW118797 Issued in CA
Practice address
Healing Hope, Inc.
1960 N. Gateway Blvd
Fresno, CA 93727
Phone
(559) 266-5200
Fax
(559) 266-5201
NPI assigned
Jul 14, 2009
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X ASW78283 CA
Clinical Social Worker 1041C0700X ASW78283 CA
Clinical Social Worker 1041C0700X 78282 CA
Clinical Social Worker 1041C0700X LCSW118797 CA Primary

Addresses

Primary practice location

Healing Hope, Inc.
1960 N. Gateway Blvd
Fresno, CA 93727

Mailing address

1960 N. Gateway Blvd
Fresno, CA 93727
Phone (559) 266-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240801004375 CA Practitioner - Clinical Social Worker 3870734205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hope IncGroup PAC ID 2163663584, 2 clinicians

Practice addresses (Care Compare)

1960 N Gateway Blvd
Fresno, CA 93727-1604
Phone (559) 266-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78282CAMDClinical Social Worker
ASW78283CAMDClinical Social Worker
LCSW118797CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hopes, Inc. Mental Health CurrentSince Jan 3, 2020 Accepting new patients
Healing Hope, Inc CurrentSince May 18, 2013 Accepting new patients

Locations

1960 N Gateway Blvd
Fresno, CA 93727
Phone (559) 266-5200

Organizations & group practices 4

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1790914505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 N. GATEWAY BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-266-5200",
            "fax_number": "559-266-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALING HOPE, INC.",
            "address_2": "1960 N. GATEWAY BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-266-5200",
            "fax_number": "559-266-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPER",
        "first_name": "MOR",
        "middle_name": "XIONG",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-03-15",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW78283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW78283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78282",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW118797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.