Mary E. Moran, PHD, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009433 Issued in WA

Practice address

6714 Twin Hills Dr W
University Place, WA 98467-2120

Phone

(253) 565-2565

NPI assigned

Jun 9, 2020

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.moran.2@29558.direct.athenahealth.com

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.

• Rippl Care PC of Washington Inc

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1427767391
  Medicare reassignment
• Rippl Care PC of New Jersey, PC

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1033970025
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1427673045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 TWIN HILLS DR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672120",
            "telephone_number": "253-565-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 TWIN HILLS DR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672120",
            "telephone_number": "253-565-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "PHD, MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Moore
• Pamela Kim Moore, M.D.
• Wendi Ann Moore, RN
• Krystiana Morales
• Thomas L Morales, D.D.S.
• Anastasha Nicole Moreno, LMFTA
• Shannon Shirley Morrow
• Moseman Counseling
• Christopher Adam Moseman, MA, LMHC
• Kristin L Moultine, LCSW

• Clinical Social Worker in University Place, WA
• Providers in University Place, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.