Nicole L Moore, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090952 Issued in IA

Practice address

1450 Boyson Rd Ste C1
Hiawatha, IA 52233-2323

Phone

(319) 382-8660

Fax

(319) 382-8693

NPI assigned

Aug 21, 2020

Sex

Female

Sole proprietor

No

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

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.

• Sage Mind Therapy, LLC

  • Clinical Social Worker
  • Cedar Rapids, IA
  • NPI 1912869041
  NPD Authorized official
• Insight Therapy Group PC

  • Mental Health Counselor
  • Cedar Rapids, IA
  • NPI 1780188391

  Clinical

  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1093327918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BOYSON RD STE C1",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332323",
            "telephone_number": "319-382-8660",
            "fax_number": "193-828-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BOYSON RD STE C1",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332323",
            "telephone_number": "319-382-8660",
            "fax_number": "319-382-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "090952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Nichol Miller, LMHC
• Kelsey T Miller, DPM
• Madison Miller, TLMFT
• Natalia Elise Mitchell, DPT
• Moments Hospice of Des Moines LLC
• Christopher Michael Moothart, D.D.S.
• Morgan and Morio Oral and Maxillofacial Surgery
• James R Morgan, DDS PHD
• Dominic G Morio, DDS MS
• William Morio

• Clinical Social Worker in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.