Nichole L Moorman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.00001565 Issued in CO

Practice address

380 Sherman St
Ridgway, CO 81432

Phone

(970) 318-0529

NPI assigned

Apr 8, 2009

Last updated

Oct 31, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindfulness Based Interventions LLCGroup PAC ID 2961762547, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Ridgway, CO
  • NPI 1639689938
  Medicare reassignment Care Compare group NPD Authorized official
• Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Montrose, CO
  • NPI 1093579609
  NPD (past) Authorized official
• Mindfulness Based Interventions LLC

  • Clinical Social Worker
  • Montrose, CO
  • NPI 1205491503
  NPD (past) Authorized official
• Mindfulness Based Interventions LLC

  dba Mindfulness Based Interventions

  • Adult Mental Health Clinic/Center
  • Delta, CO
  • NPI 1285128785
  Authorized official Same address or phone
• Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Montrose, CO
  • NPI 1396526646
  NPD (past) Authorized official
• Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Ridgway, CO
  • NPI 1679067490
  Authorized official Same address or phone
• Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Ridgway, CO
  • NPI 1760033930
  Authorized official Same address or phone
• Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Ridgway, CO
  • NPI 1861009391
  NPD (past) Authorized official

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1053554964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 REDCLIFF CIR UNIT 102",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814329243",
            "telephone_number": "970-318-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SHERMAN ST",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "81432",
            "telephone_number": "970-318-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Sherman St Unit H",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "81432",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Hunter PKWY",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "81432",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Townsend Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814013553",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 E Main St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014043",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Main St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814161834",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 E Miami St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014108",
            "country_code": "US",
            "telephone_number": "970-249-9694",
            "fax_number": "970-249-2955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814013703",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "NICHOLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Lynch McReynolds, M.D.
• Mindfulness Based Interventions LLC
• Mindfulness Based Interventions LLC
• Mindfulness Based Interventions LLC
• Mindfulness Based Interventions LLC
• Mountain Family Living, a Prof Corp
• Mountain Medical Center LLC
• Shirley L Olson, FNP
• Ouray County School District R-2
• Ouray Family Medicine LLC (Ridgway Center for Whole Health)

• Clinical Social Worker in Ridgway, CO
• Providers in Ridgway, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.