CHARLOTTE MORGAN (MSW, LICSW) – Clinical Social Worker, NPI 1063999472

CHARLOTTE MORGAN (MSW, LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW. They hold a License No. 27449 (MN). The NPI Number for CHARLOTTE MORGAN (MSW, LICSW) is 1063999472

Main info

Female
8 Years Of Experience
Name
CHARLOTTE MORGAN (MSW, LICSW)
NPI
1063999472
Phone
(763) 226-1474
Address
3829 CEDAR AVE S APT 1
Enumeration Date
27 July 2018
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6129792276
Graduation Year
2018 (8 years ago)
PAC ID
9537568746
Group Practice PAC ID
9638581291
Professional Enrollment ID
I20210520000595
Address ID
MN554082952MI621XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for CHARLOTTE MORGAN (MSW, LICSW)

  • 3829 CEDAR AVE S APT 1

    MINNEAPOLIS, MN 554075266

    Phone: (763) 226-1474

    Type: Mailing

  • Parkdale Drive, Pasadena Hills, Saint Louis County, Missouri, 63121, United States

    ST LOUIS PARK, MN 554161603

    Phone: (888) 364-5977

    Type: Mailing

  • 621 W LAKE ST STE 350

    MINNEAPOLIS, MN 554082952

    Phone: (612) 979-2276

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210520000595IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638581291View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Clinical PsychologistMN
Mental Health CounselorMN
Nurse PractitionerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

What identifier follows CHARLOTTE MORGAN (MSW, LICSW) across health systems?
The NPI 1063999472 uniquely identifies CHARLOTTE MORGAN (MSW, LICSW) in U.S. healthcare data.
Is CHARLOTTE MORGAN (MSW, LICSW) currently accepting referrals based on NPI status?
Registry metadata lists CHARLOTTE MORGAN (MSW, LICSW) as active.
What services align with CHARLOTTE MORGAN (MSW, LICSW)'s listing?
CHARLOTTE MORGAN (MSW, LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to CHARLOTTE MORGAN (MSW, LICSW)?
CHARLOTTE MORGAN (MSW, LICSW) shows a connection to Minneapolis, Minnesota in registry-derived data.
Who maintains CHARLOTTE MORGAN (MSW, LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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