Active NPI
Lisa Morgan
- Clinical Social Worker
- Manchester, CT
National Provider Identifier
1902513617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5385
- Practice address
- 642 Hilliard St
Manchester, CT 06042-2701 - Phone
- (860) 265-4654
- NPI assigned
- Nov 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5385 | CT | Primary |
Addresses
Primary practice location
642 Hilliard St
Manchester, CT 06042-2701
Mailing address
77 Milford St
Hartford, CT 06112-2131
Phone (860) 761-4575
Other practice location 1
56 Poquonock Ave
Windsor, CT 06095-2507
Phone (860) 986-0692
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5385 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1902513617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MILFORD ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061122131",
"telephone_number": "860-761-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 HILLIARD ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422701",
"telephone_number": "860-265-4654"
}
],
"practiceLocations": [
{
"address_1": "56 Poquonock Ave",
"address_purpose": "LOCATION",
"city": "Windsor",
"state": "CT",
"postal_code": "060952507",
"country_code": "US",
"telephone_number": "860-986-0692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "5385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.