Jessica Nicole Moskalewski, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801100869 Issued in MI

Practice address

125 E. Catherine
Muskegon, MI 49442

Phone

(231) 683-9725

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessica Nicole Janecke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Blue Anchor Behavioral Health

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1326778747
  NPD Authorized official
• Hackley Community Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Muskegon, MI
  • NPI 1427787621
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043737554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CATHERINE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423331",
            "telephone_number": "231-683-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E. CATHERINE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-683-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKALEWSKI",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JANECKE",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Mortland
• Amanda Christine Morton, RECOVERY COACH
• Rachael Kristine Morton
• Paige Olivia Moscoe, DO
• Matthew John Moser, PA-C
• Anna Marie Moss, LMSW
• Mark J.R. Moulton, M.D.
• Richard E Moulton, M.D.
• Emily Carmina Moyer
• Brian Robert Mueller, CRNA

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.