Individual provider Active NPI

Morgan Ellen Klass, LCSW

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1972172419
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11535 Issued in CT
Practice address
105 Stagecoach Cir
Milford, CT 06460-3784
Phone
(203) 641-3589
NPI assigned
Jun 20, 2021
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 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 11535 CT Primary

Addresses

Primary practice location

105 Stagecoach Cir
Milford, CT 06460-3784

Mailing address

105 Stagecoach Cir
Milford, CT 06460-3784
Phone (203) 641-3589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20211129000655 CT Practitioner - Clinical Social Worker 4385034776 Practice locations: Milford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11535CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1972172419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STAGECOACH CIR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603784",
            "telephone_number": "203-641-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STAGECOACH CIR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603784",
            "telephone_number": "203-641-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASS",
        "first_name": "MORGAN",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.