Individual provider Active NPI

Kelly Renee Morgan, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1851844880
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88333 Issued in CA
Practice address
2523 W 7TH St
Los Angeles, CA 90057-3801
Phone
(213) 480-1557
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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 88333 CA Primary

Addresses

Primary practice location

2523 W 7TH St
Los Angeles, CA 90057-3801

Mailing address

2523 W. 7TH Street
Los Angeles, CA 90057
Phone (213) 480-1557

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
I20190905001417 CA Practitioner - Clinical Social Worker 1557690252 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 20, 2019 Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 20, 2019 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Enki Health Services, Inc CurrentSince Mar 25, 2019 Accepting new patients
Enki Health Services, Inc. CurrentSince Mar 25, 2019 Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

2523 W 7th St
Los Angeles, CA 90057
Phone (213) 480-1557

5800 King Ave
Maywood, CA 90270
Phone (323) 210-1412

15206 Parthenia St
Sepulveda, CA 91343

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1851844880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 W. 7TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-480-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573801",
            "telephone_number": "213-480-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.