Rose-Marie Adelle Mouning
Individual provider Active NPI Social Worker · Granby, CT
NPI 1508634734 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1508634734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7792 (CT)
- Practice address
- 10 Bank St Unit 807
Granby, CT 06035-7035 - Phone
- (833) 723-7685
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7792 | CT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7792 | CT | Yes |
Addresses
Primary practice location
10 Bank St Unit 807
Granby, CT 06035-7035
Mailing address
10 Bank St Unit 807
Granby, CT 06035-7035
Other providers in Granby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.