Individual provider Active NPI

Jessica Jenny Moroz

  • Social Worker
  • Lansing, MI
National Provider Identifier
1275358137
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851109627 Issued in MI
Practice address
6639 Centurion Dr Ste 200
Lansing, MI 48917-8273
Phone
(231) 201-6565
NPI assigned
Nov 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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 6851109627 MI Primary

Addresses

Primary practice location

6639 Centurion Dr Ste 200
Lansing, MI 48917-8273

Mailing address

3155 Gerald Ave
Rochester Hills, MI 48307-5550
Phone (248) 933-1630

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

State licenses

LicenseStateTypeSpecialty
6851109627MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uncomplicated Counseling Services LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

6639 Centurion Dr
Ste 200
Lansing, MI 48917
Phone (231) 201-6565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1275358137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 GERALD AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075550",
            "telephone_number": "248-933-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 CENTURION DR STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178273",
            "telephone_number": "231-201-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROZ",
        "first_name": "JESSICA",
        "middle_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851109627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.