Melissa Rose Moynihan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022166 Issued in IL

Practice address

137 N Oak Park Ave # 400
Oak Park, IL 60301-1344

Phone

(708) 386-8800

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1336693308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W ROSCOE ST APT 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573661",
            "telephone_number": "248-930-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE # 400",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-386-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 S Livernois Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072585",
            "country_code": "US",
            "telephone_number": "248-930-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYNIHAN",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Mossing, LCSW
• Mount Sinai Community Foundation
• Mount Sinai Community Foundation
• Sara M Mousa, DO
• Moxie Allure Co.
• Jessica Leann Mroz, L.C.S.W.
• Tariq Moh'D Suleiman Mubarak, M.D
• Allan Owen Muehrcke, M.D.
• Benjamin T Mueller, DPT
• Victoria Lyles Muhammad, LCPC , NCC, IDVCA

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.