Active NPI
Krystal Morris
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1902500721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010270A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34010270A | IN | MD | Clinical 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.