Canon City Counseling & Psychotherapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992271 Issued in CO

Legal business name

CANON CITY COUNSELING & PSYCHOTHERAPY SERVICES

Practice address

109 Latigo LN
Suite E-2
Canon City, CO 81212-8112

Phone

(719) 275-4442

Fax

(719) 275-4442

NPI assigned

Dec 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John A Morlock, MSW LCSW

Title

President

Phone

(719) 275-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932261617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LATIGO LN",
            "address_2": "SUITE E-2",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128112",
            "telephone_number": "719-275-4442",
            "fax_number": "719-275-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LATIGO LN",
            "address_2": "SUITE E-2",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128112",
            "telephone_number": "719-275-4442",
            "fax_number": "719-275-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON CITY COUNSELING & PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORLOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-275-4442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "992271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Canon City, CO
• Providers in Canon City, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.