Momo LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOMO LLC

Practice address

162 Glenn PL
Lexington, KY 40505-3519

Phone

(502) 509-9436

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

McClain Leeds Owens, LCSWNPI 1881328383

Title

Owner

Phone

(502) 509-9436

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McClain Leeds Owens, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1881328383
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1003641358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E BROADWAY # 217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GLENN PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053519",
            "telephone_number": "502-509-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MCCLAIN",
        "authorized_official_middle_name": "LEEDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-509-9436",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Moline, LCSW
• Tonya P Moline, APRN
• David Jon Moliterno, MD
• Erin Molloy, MD
• Nicholas Momeni, DO
• Joel Moncivaiz, MD
• Kathryn Moncrief, DDS
• Lee Everett Moncrief III
• Sarah Anderson Money, DNP, APRN, CPNP-PC
• Ariane Mongeau, OCCUPATIONAL THERAPI

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.