Mickey Mood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW23954 Issued in CA

Practice address

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929

Phone

(831) 423-9444

NPI assigned

Jun 22, 2007

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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.

• Seneca Center

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1699972281
  NPD (past)
• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1174801690
  NPD (past)
• Seneca Family of Agencies

  dba Sonoma Family Permanence Collaborative

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1205152733
  NPD (past)
• Rocketship Education Wisconsin Inc.

  • Local Education Agency (LEA)
  • Milwaukee, WI
  • NPI 1275964025
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1326244807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 REDWOOD DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950032506",
            "telephone_number": "831-688-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE STE 208",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603929",
            "telephone_number": "831-423-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOD",
        "first_name": "MICKEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW23954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monterey Bay Urology Associates
• Jessica Montero
• Matthew Geronimo Montes, ACSW
• Autumn Montez
• Courtney Regina Montgomery, NP
• Ashley Michelle Moody
• Joanna Moody
• Sara Rose Moon
• Lindsay Mooney, M.D.
• Gayane Mooradian, D.D.S.

• Clinical Social Worker in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.