Active NPI
Michael Dwight Moody, APSW
- Social Worker
- Madison, WI
National Provider Identifier
1134091804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 132315121
- Practice address
- 2075 Winnebago St
Madison, WI 53704-5316 - Phone
- (608) 217-8178
- NPI assigned
- Sep 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 132315121 | WI | Primary |
Addresses
Primary practice location
2075 Winnebago St
Madison, WI 53704-5316
Mailing address
2075 Winnebago St
Madison, WI 53704-5316
Phone (608) 217-8178
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132315121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1134091804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 WINNEBAGO ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537045316",
"telephone_number": "608-217-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 WINNEBAGO ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537045316",
"telephone_number": "608-217-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "MICHAEL",
"middle_name": "DWIGHT",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "132315121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.