Individual provider Active NPI

Erin Nicole Moon, LCSW

  • Social Worker
  • Fitchburg, WI
National Provider Identifier
1144673120
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
130183-121 Issued in WI
Practice address
5944 Seminole Centre CT Ste 210
Fitchburg, WI 53711-5019
Phone
(844) 467-3467
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 130183-121 WI Primary

Addresses

Primary practice location

5944 Seminole Centre CT Ste 210
Fitchburg, WI 53711-5019

Mailing address

5944 Seminole Centre CT Ste 120
Fitchburg, WI 53711-5019
Phone (844) 467-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20190326001974 WI Practitioner - Clinical Social Worker 7911247101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130183-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope2Inspire LLC CurrentSince Nov 14, 2025 Accepting new patients

Locations

5944 Seminole Centre Ct
Ste 210
Fitchburg, WI 53711
Phone (844) 467-3467

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1144673120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 SEMINOLE CENTRE CT STE 120",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115019",
            "telephone_number": "844-467-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 SEMINOLE CENTRE CT STE 210",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115019",
            "telephone_number": "844-467-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130183-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.