Individual provider Active NPI

Krystal Morris

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1902500721
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010270A Issued in IN
Practice address
8205 E. 56TH Street
Suite 200
Indianapolis, IN 46216
Phone
(317) 554-4220
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34010270A IN Primary

Addresses

Primary practice location

8205 E. 56TH Street
Suite 200
Indianapolis, IN 46216

Mailing address

8667 N Autumnview Dr
McCordsville, IN 46055-6154

Other practice location 1

8667 N Autumnview Dr
McCordsville, IN 46055-6154
Phone (575) 551-0084

Other practice location 2

3209 W Smith Valley Rd
Greenwood, IN 46142-8495
Phone (575) 551-0084

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

LicenseStateTypeSpecialty
34010270AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1902500721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8667 N AUTUMNVIEW DR",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 E. 56TH STREET",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46216",
            "telephone_number": "317-554-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8667 N Autumnview Dr",
            "address_purpose": "LOCATION",
            "city": "McCordsville",
            "state": "IN",
            "postal_code": "460556154",
            "country_code": "US",
            "telephone_number": "575-551-0084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3209 W Smith Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461428495",
            "country_code": "US",
            "telephone_number": "575-551-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.