Nicole Joy Mooney, BSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6493-120 Issued in WI

Practice address

1407 Saint Andrew St
Ste 100
La Crosse, WI 54603-3301

Phone

(608) 785-5575

Fax

(608) 785-6315

NPI assigned

Apr 9, 2007

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)

Not enrolled

State licenses

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.

• La Crosse County Cmo

  • Health Maintenance Organization
  • La Crosse, WI
  • NPI 1225160492
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205959822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WAGON DR",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691026",
            "telephone_number": "608-786-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST",
            "address_2": "STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546033301",
            "telephone_number": "608-785-5575",
            "fax_number": "608-785-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "NICOLE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "6493-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila L Momont, MD
• Matthew Monahan
• Vicki Roseann Monk, SLP
• Diane C Monte, LCSW
• Sarah Montee
• Moonlight Psychotherapy and Psychological Services, LLC
• John Wesley Moore, D.D.S.
• Kyle Jordan Moore, PA
• Taylor Janae Moore
• Alyssa Kassandra Mora

• Case Manager/Care Coordinator in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.