Agatha Moeller, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.006303 Issued in IL

Practice address

1230 N State Pkwy
#27C
Chicago, IL 60610-2260

Phone

(312) 932-9163

NPI assigned

Dec 27, 2010

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

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 and National Provider Directory roles.

• Perspectives LTD

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1750439444
  NPD (past)
• Allone Health Well LLC

  • Mental Health Counselor
  • Wilkes Barre, PA
  • NPI 1659268043
  NPD (past)

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1356645808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145030",
            "telephone_number": "312-932-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N STATE PKWY",
            "address_2": "#27C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102260",
            "telephone_number": "312-932-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "AGATHA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen H Moe, M.D.
• Maryam Moeed, DO
• Emily Caroline Moehlmann
• Matthew Louis Moehlmann, DO
• Jeremy Moehr, PHARMD
• Darcie Denise Moeller, MD
• Jennifer Moeller, DMD
• Maggie Elise Moeller, DO
• Emily Moentmann
• Brooke Helene Moersfelder, RDCD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 27, 2010; 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.