Judith Moolten, CSW, PHDC, ST

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8866713230 Issued in WV

Practice address

20 Walnut Ave
Wheeling, WV 26003-5727

Phone

(304) 232-0230

Fax

(866) 519-8020

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1336532597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WALNUT AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035727",
            "telephone_number": "304-232-0230",
            "fax_number": "866-519-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035727",
            "telephone_number": "304-232-0230",
            "fax_number": "866-519-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOLTEN",
        "first_name": "JUDITH",
        "credential": "CSW, PHDC, ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "8866713230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8866713230",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sravani Modumudi, M.D.
• Sydney Lee Moffett
• Manish Monga, MD
• Taylor Monnier
• Jill Montgomery
• Thomas Frank Moore, PA-C
• Richard M Moorehead, DPM
• Iliel Gabriel Morales
• Joelle Moray
• Maria R Moreno, MD

• Clinical Social Worker in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.