Moriah Bracken, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023413 Issued in IL

Practice address

480 Susan LN
Deerfield, IL 60015-3949

Phone

(847) 769-6926

NPI assigned

Aug 18, 2021

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

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.

• Bracken Therapies PLLC

  • Clinical Social Worker
  • Deerfield, IL
  • NPI 1982380077
  NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1275209397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 SUSAN LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153949",
            "telephone_number": "847-769-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 SUSAN LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153949",
            "telephone_number": "847-769-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "MORIAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bone Health Management
• Nashaat N Boutros, MD
• Lauren N Boyle, DPT
• Sydney Boyle, RBT
• Bracken Therapies PLLC
• Jason Bradt, M.D.
• Andrea Brandess, DT
• Bridge2Horizon Wellness Resource LLC
• Alicia Brown, PHARMD
• Jonathan R. Brown, MD

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.