Individual provider Active NPI

Laverne Marie Moren, LMSW,ACSW

  • Clinical Social Worker
  • Rochester Hills, MI
National Provider Identifier
1043358310
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058938 Issued in MI
Practice address
155 Rochdale Dr S
Suite B
Rochester Hills, MI 48309-2276
Phone
(248) 842-4163
NPI assigned
Feb 1, 2007
Last updated
Jun 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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 6801058938 MI Primary

Addresses

Primary practice location

155 Rochdale Dr S
Suite B
Rochester Hills, MI 48309-2276

Mailing address

155 Rochdale Dr S
Suite B
Rochester Hills, MI 48309-2276
Phone (248) 842-4163

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1043358310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROCHDALE DR S",
            "address_2": "SUITE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092276",
            "telephone_number": "248-842-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ROCHDALE DR S",
            "address_2": "SUITE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092276",
            "telephone_number": "248-842-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREN",
        "first_name": "LAVERNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW,ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.