Mimzy Tackney-Moen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

985042 Issued in CO

Practice address

8000 E Prentice Ave Ste D12
Greenwood Village, CO 80111-2759

Phone

(303) 637-2526

Fax

(303) 779-7982

NPI assigned

Jan 3, 2007

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

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275690612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE STE D12",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112759",
            "telephone_number": "303-637-2526",
            "fax_number": "303-779-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE STE D12",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112759",
            "telephone_number": "303-637-2526",
            "fax_number": "303-779-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKNEY-MOEN",
        "first_name": "MIMZY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "985042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sylvia, MS CCC-SLP
• T Yamada Group
• Hilda Taban, PHARM.D
• Cheryl Tabor, RN
• Carson Stone Tackett
• Bisrat Ysmashewa Tadesse, AGPCNP-C
• Analisia Tafoya
• Sheralynn Tafoya
• Michie Tagawa
• Brittany Marie Taitano, MS, FNP-C

• Clinical Social Worker in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Clinical Social Worker in Colorado

• 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.