Lynette Maria Moriak

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15389 Issued in FL

Practice address

2860 Braddock CT
Tallahassee, FL 32308-0559

Phone

(850) 284-2202

NPI assigned

May 30, 2008

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

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1427216902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 BRADDOCK CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080559",
            "telephone_number": "850-284-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 BRADDOCK CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080559",
            "telephone_number": "850-284-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2634 Capital Cir NE",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084106",
            "country_code": "US",
            "telephone_number": "850-523-3333",
            "fax_number": "850-523-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIAK",
        "first_name": "LYNETTE",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769100900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Patrick Morgan, PHYSICIAN ASSISTANT
• Katherine Elizabeth Morgan
• Kristan Aliesha Morgan, ARNP
• Ruth Suzanne Morgan, M.D.
• Taquila Morgan, LPC, CADCII
• Justin Russell Morin
• Connie Morizio
• Sheila Mork, LCSW
• Kimberly A. Morphet, APRN, CNM
• Lindsay Morrell, ARNP

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.