Active NPI
Adia Moran, LCSW
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1619367026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 219865
- Practice address
- 37 Belmont St
Brockton, MA 02301-5299 - Phone
- (508) 580-4691
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 219865 | MA | Primary |
Addresses
Primary practice location
37 Belmont St
Brockton, MA 02301-5299
Mailing address
23 Larkspur Way Apt 4
Natick, MA 01760-4030
Phone (508) 371-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219865 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1619367026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LARKSPUR WAY APT 4",
"city": "NATICK",
"state": "MA",
"postal_code": "017604030",
"telephone_number": "508-371-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015299",
"telephone_number": "508-580-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "ADIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "219865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.