Individual provider Active NPI

Emiley Morton, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1962900134
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1800926 Issued in OH
Practice address
4790 Red Bank Rd Ste 126
Cincinnati, OH 45227-1598
Phone
(513) 900-2016
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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 I.1800926 OH Primary

Addresses

Primary practice location

4790 Red Bank Rd Ste 126
Cincinnati, OH 45227-1598

Mailing address

4790 Red Bank Rd Ste 126
Cincinnati, OH 45227-1598
Phone (513) 900-2016

Other practice location 1

30 Overbrook Dr
Monroe, OH 45050-3100
Phone (859) 559-3741

Other identifiers 1

IdentifierTypeStateIssuer
2919604MedicaidOH

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
I.1800926OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaimed Divergence LLC Current Accepting new patients
Revivecincy LLC Clinical PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1962900134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 126",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271598",
            "telephone_number": "513-900-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 126",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271598",
            "telephone_number": "513-900-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Overbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "OH",
            "postal_code": "450503100",
            "country_code": "US",
            "telephone_number": "859-559-3741",
            "fax_number": "859-559-3741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "EMILEY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2919604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.