Individual provider Active NPI

Don'Nika Leanna Moulden, LBSW

  • Social Worker
  • Taylor, MI
National Provider Identifier
1255256178
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802092865 Issued in MI
Practice address
20400 Superior Rd
Taylor, MI 48180-5362
Phone
(734) 282-7171
Fax
(734) 282-7105
NPI assigned
Aug 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 6802092865 MI Primary

Addresses

Primary practice location

20400 Superior Rd
Taylor, MI 48180-5362

Mailing address

20400 Superior Rd
Taylor, MI 48180-5362
Phone (734) 282-7171

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Information Center, Inc., the Family Resource Place Past Accepting new patients

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": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1255256178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 SUPERIOR RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805362",
            "telephone_number": "734-282-7171",
            "fax_number": "734-282-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 SUPERIOR RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805362",
            "telephone_number": "734-282-7171",
            "fax_number": "734-282-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDEN",
        "first_name": "DON'NIKA",
        "middle_name": "LEANNA",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802092865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.