Kimberly Elise Moulos

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW138685 Issued in PA

Practice address

308 Saline St Apt 3
Pittsburgh, PA 15207-1024

Phone

(630) 430-6488

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Persad Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1215003447
  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  PA

  Medicare reassignment

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1245999259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SALINE ST APT 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071024",
            "telephone_number": "630-430-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SALINE ST APT 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071024",
            "telephone_number": "630-430-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULOS",
        "first_name": "KIMBERLY",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etsuro K Motoyama, MD
• Jamie Motta, CRNP
• Dominick Anthony Motto, M.D.
• Hemlata Moturi, M.D.
• Mousumi Moulik
• Jennifer Moulton
• Mount Ararat Baptist Church (Mount Ararat Counseling Center)
• Mount Carmel Health System
• Mount Lebanon School District
• Charles Edward Mount III, M.D.

• Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.