Individual provider Active NPI

Katelynn Onie Ashley Morris, LCSW

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1972006187
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25620 Issued in FL
Practice address
105 Randolph Dr
Palm Coast, FL 32164-6816
Phone
(386) 318-2245
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X SW25620 FL Primary
Clinical Social Worker 1041C0700X
Social Worker 104100000X S.2106923 OH

Addresses

Primary practice location

105 Randolph Dr
Palm Coast, FL 32164-6816

Mailing address

105 Randolph Dr
Palm Coast, FL 32164-6816
Phone (386) 318-2245

Other practice location 1

30 Northwest Ave Ste A120
Tallmadge, OH 44278-1808
Phone (330) 633-4187

Other practice location 2

2035 SW 75th St Ste B
Gainesville, FL 32607-3425
Phone (352) 332-8588 ext. 1

Other practice location 3

4942 Higbee Ave NW Ste C&b
Canton, OH 44718-2554
Phone (330) 491-4331

Other identifiers 1

IdentifierTypeStateIssuer
SMedicaidFL

Other names 1

  • Katie Onie Ashley Depew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251215003214 FL Practitioner - Clinical Social Worker 8729572912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

119 A Greenville Rd
Pomona Park, FL 32181-2251

1236 Shadyside Ave SW
Canton, OH 44710-2050

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

9835 Lake Worth Rd
Lake Worth, FL 33467-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2106923OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Florida PA Clinical CurrentSince Feb 8, 2026 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Oct 20, 2025 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Sep 1, 2021 Accepting new patients
Fortuide Wellbeing Inc Past Accepting new patients
National Youth Advocate Program, Inc PastSince Sep 1, 2021 Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

30 Northwest Ave
#A120
Tallmadge, OH 44278
Phone (330) 256-0135

Organizations & group practices 5

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1972006187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RANDOLPH DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646816",
            "telephone_number": "386-318-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RANDOLPH DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646816",
            "telephone_number": "386-318-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Northwest Ave Ste A120",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442781808",
            "country_code": "US",
            "telephone_number": "330-633-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 SW 75th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326073425",
            "country_code": "US",
            "telephone_number": "352-332-8588 x1",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4942 Higbee Ave NW Ste C&b",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182554",
            "country_code": "US",
            "telephone_number": "330-491-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KATELYNN",
        "middle_name": "ONIE ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25620",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DEPEW",
            "middle_name": "ONIE ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.