Nicole Moody LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090018 Issued in MI

Legal business name

NICOLE MOODY LLC

Practice address

541 E Grand River Ave Ste A1
East Lansing, MI 48823-4445

Phone

(517) 515-4114

NPI assigned

Jan 30, 2015

Last updated

Apr 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole L Moody, LMSWNPI 1104244391

Title

Owner

Phone

(517) 515-4114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Moody, LMSW

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1104244391
  Authorized official Same address or phone

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1295125144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WOODWIND TRL",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408955",
            "telephone_number": "517-515-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 E GRAND RIVER AVE STE A1",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234445",
            "telephone_number": "517-515-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MOODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-515-4114",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nguyen
• Madeline Marie Niblock
• Michelle Hattie Nichols, LMSW
• Wendy Macfarland Nicholson, LLP
• Clarence L Nicodemus, PHD DO
• Xiaozhou Ning, PHARMD
• No Mom Left Behind PT LLC (No Mom Left Behind Physical Therapy)
• George William Noel, M.D.
• Julia R Noel
• Mary M Noel, R.D.

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.