Cmoody & Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I4207-S Issued in OH

Legal business name

CMOODY & ASSOCIATES

Practice address

3909 Dickson Ave
Cincinnati, OH 45229-1339

Phone

(513) 324-2615

Fax

(513) 751-1322

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Connie Moody, LISW

Title

Ceo

Phone

(513) 324-2615

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1073818357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 DICKSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291339",
            "telephone_number": "513-324-2615",
            "fax_number": "513-751-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 DICKSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291339",
            "telephone_number": "513-324-2615",
            "fax_number": "513-751-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMOODY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-324-2615",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I4207-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629384177",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.