Tandy Moffitt, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004789A Issued in IN

Practice address

6392 Sunshine Meadows LN
Brownsburg, IN 46112-7718

Phone

(317) 514-2908

NPI assigned

Oct 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tandy R Pea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696636800000",
    "number": "1528158979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 SUNSHINE MEADOWS LN",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127718",
            "telephone_number": "317-514-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 SUNSHINE MEADOWS LN",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127718",
            "telephone_number": "317-514-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "TANDY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "34004789A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34004789A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004789A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000495949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANDY",
            "last_name": "PEA",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Misenhimer, RN
• Jacquelin Mitchel, BCBA
• Kathryn Lee Mitchell
• Samantha Mitchell
• Vanessa Renee Mitchell
• Olga Molin, DDS
• Lucy Momeyer
• Alix Michelle Montgomery, LCSW
• Coralindah Montgomery, RBT
• Selena Moore Barbosa, RBT

• Clinical Social Worker in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.