Sydney Rae Moug, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28880 Issued in MN

Practice address

4510 77TH St W
Edina, MN 55435-5505

Phone

(952) 567-6600

NPI assigned

Aug 28, 2025

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

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": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1598644007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 FRANCE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313628",
            "telephone_number": "701-215-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 77TH ST W",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355505",
            "telephone_number": "952-567-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUG",
        "first_name": "SYDNEY",
        "middle_name": "RAE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Olivia Limon Mosby, PT, DPT
• Adam Matthew Moss, M.D.
• Henry Lee Moss III
• Mallory C Moss, R.D., L.D.
• Motion Lab Chiropractic PLLC
• Monica Jolene Moura, CRNA
• Myles Layne Mowery, DO, MBA
• Makayla Mozey, MD
• MPB Psych, LLC
• Steven Mszyco, MD

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.