Moonflower LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOONFLOWER LLC

Practice address

5445 City Hall St
Nisswa, MN 56468-2478

Phone

(218) 820-1023

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mallori Ann Sheik, DSW, LICSWNPI 1174340350

Title

Dr. DSW Licsw Owner/Operator

Phone

(218) 820-1023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mallori Ann Sheik, LICSW

  • Clinical Social Worker
  • Nisswa, MN
  • NPI 1174340350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1295557213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CHANNEL LN",
            "city": "PILLAGER",
            "state": "MN",
            "postal_code": "564738001",
            "telephone_number": "218-820-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 CITY HALL ST",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682478",
            "telephone_number": "218-820-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONFLOWER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEIK",
        "authorized_official_first_name": "MALLORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DR. DSW LICSW OWNER/OPERATOR",
        "authorized_official_telephone_number": "218-820-1023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Nisswa, MN
• Providers in Nisswa, 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 Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.