Todd Francis Moran, PHD, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15984 Issued in MN

Practice address

308 4TH Ave NW
Austin, MN 55912-3140

Phone

(507) 438-2010

Fax

(507) 434-0955

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Moran Professional Services

  • Clinical Social Worker
  • Austin, MN
  • NPI 1407127582
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1285767590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 36TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559126661",
            "telephone_number": "507-438-2010",
            "fax_number": "507-434-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 4TH AVE NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123140",
            "telephone_number": "507-438-2010",
            "fax_number": "507-434-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TODD",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PHD, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "15984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345678",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452809300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Louis Mitchell, DDS
• Victor Nasser Mizrachi, M.D.
• Christine Elizabeth Moon, APRN
• Moran Professional Corporation
• Moran Professional Services
• Jacob William Morgan, D.C.
• Lynsie Danielle Moritz, LPCC
• Morning Star Center Inc
• Mower County Human Services
• Mower County Seniors, Inc.

• Social Worker in Austin, MN
• Providers in Austin, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.