Individual provider Active NPI

Donald R. Morrison Jr., LCSW

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1952408338
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005450 Issued in NC
Practice address
116 Morlake Dr Ste 202B
Mooresville, NC 28117-9528
Phone
(704) 737-2142
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 C005450 NC Primary

Addresses

Primary practice location

116 Morlake Dr Ste 202B
Mooresville, NC 28117-9528

Mailing address

116 Morlake Dr Ste 202B
Mooresville, NC 28117-9528
Phone (704) 737-2142

Other practice location 1

1900 Randolph Rd
Suite 800
Charlotte, NC 28207-1122
Phone (704) 384-1246

Other identifiers 1

IdentifierTypeStateIssuer
6106469MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130226000527 NC Practitioner - Clinical Social Worker 6406001312 Reassigns benefits to 1 organization
Practice locations: Mooresville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Harbor Counseling and Wellness, PLLCGroup PAC ID 0244688109, 5 clinicians

Practice addresses (Care Compare)

116 Morlake Dr
Suite 202
Mooresville, NC 28117-9211
Phone (704) 954-8347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005450NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Harbor Counseling and Wellness, PLLC Clinical CurrentSince Oct 19, 2023 Accepting new patients

Locations

116 Morlake Dr
Ste 202
Mooresville, NC 28117
Phone (704) 303-1303

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1952408338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MORLAKE DR STE 202B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179528",
            "telephone_number": "704-737-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MORLAKE DR STE 202B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179528",
            "telephone_number": "704-737-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Randolph Rd",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071122",
            "country_code": "US",
            "telephone_number": "704-384-1246",
            "fax_number": "704-384-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106469",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.