Tami T Moreno, LMSW - CLINICAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115452 Issued in MI

Practice address

325 S Main St Ste 102
Adrian, MI 49221-2697

Phone

(734) 418-8080

NPI assigned

Mar 27, 2017

Last updated

Jan 31, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elysian Counseling

  • Clinical Social Worker
  • Adrian, MI
  • NPI 1588370845
  NPD Authorized official
• Elysian Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, MI
  • NPI 1902517279
  NPD Authorized official

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1386175628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12663 CLINTON RD",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369670",
            "telephone_number": "734-548-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MAIN ST STE 102",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212697",
            "telephone_number": "734-418-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 E Ellsworth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082552",
            "country_code": "US",
            "telephone_number": "734-222-3463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12663 Clinton Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MI",
            "postal_code": "492369670",
            "country_code": "US",
            "telephone_number": "734-548-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "TAMI",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LMSW - CLINICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang-Yoon Moon
• Andrew Moore, PHARMD
• Makenzie Nicole Moore
• Michelle Moorehead
• Jenna Rae Moreno
• Barbara Morgan, LPTA
• Dakota Morgan
• Judith Mort-Duncan
• Padmaja Rani Mouli, MD
• Sandra Mroz, MSW

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.