Julia Moen, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9248 Issued in MN

Legal business name

JULIA MOEN, LLC

Practice address

821 Raymond Ave
Suite 440
Saint Paul, MN 55114-1503

Phone

(651) 642-9317

Fax

(651) 642-1908

NPI assigned

Mar 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julia Kimberly Moen, MSW, LICSW

Title

Owner

Phone

(651) 420-1540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1285027045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MONTROSE LN",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161134",
            "telephone_number": "651-642-9317",
            "fax_number": "651-642-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "address_2": "SUITE 440",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-642-9317",
            "fax_number": "651-642-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA MOEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-420-1540",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah E Juettner
• Julian C. Ernst, Licsw
• Roxanne L Julius, DPT
• Maria Luise Julkowski, RN, BSN
• Justin Robert Julson
• Haewon Jun

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.