Individual provider Active NPI

Charles Ty Morgan, LISW-S

  • Clinical Social Worker
  • Brunswick, OH
National Provider Identifier
1932862562
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256
Phone
(330) 220-9679
NPI assigned
Oct 20, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 NU Primary

Addresses

Primary practice location

1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256

Mailing address

4453 Lockmoor LN
Brunswick, OH 44212-6805
Phone (513) 519-1905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211105001634 OH Practitioner - Clinical Social Worker 5597154955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone of Hope IncGroup PAC ID 4587063177, 7 clinicians

Practice addresses (Care Compare)

5905 Brecksville Rd
Independence, OH 44131-1517
Phone (216) 524-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone of Hope Inc Clinical CurrentSince Jun 30, 2025 Accepting new patients

Locations

5905 Brecksville Rd
Independence, OH 44131
Phone (216) 524-4673

253 N State St
Ste 200
Westerville, OH 43081
Phone (614) 824-4285

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1932862562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 LOCKMOOR LN",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126805",
            "telephone_number": "513-519-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 PEARL RD STE 101",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123256",
            "telephone_number": "330-220-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHARLES",
        "middle_name": "TY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.