Individual provider Active NPI

Keri Ann Morrison, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1942445333
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012986 Issued in IL
Practice address
6645 North Ave
Upper Level
Oak Park, IL 60302-1057
Phone
(708) 386-5080
Fax
(708) 386-5099
NPI assigned
Dec 13, 2008
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 149012986 IL Primary

Addresses

Primary practice location

6645 North Ave
Upper Level
Oak Park, IL 60302-1057

Mailing address

6645 North Ave
Upper Level
Oak Park, IL 60302-1057
Phone (708) 386-5080

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

LicenseStateTypeSpecialty
149012986ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Counseling and Psychological Services, LLP CurrentSince Apr 6, 2021 Accepting new patients

Locations

6645 North Ave
Uppr
Oak Park, IL 60302
Phone (708) 386-5080

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": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1942445333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE",
            "address_2": "UPPER LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-386-5080",
            "fax_number": "708-386-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE",
            "address_2": "UPPER LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-386-5080",
            "fax_number": "708-386-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "KERI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.