Individual provider Active NPI

Joyce Moody, MSW, LICSW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1669579314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004001 Issued in WA
Practice address
Puget Sound Health Care System American Lake DV
9600 Veterans Dr. SW BLDG 61 B
Tacoma, WA 98493-0001
Phone
(253) 582-8440
Fax
(253) 589-4167
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00004001 WA Primary

Addresses

Primary practice location

Puget Sound Health Care System American Lake DV
9600 Veterans Dr. SW BLDG 61 B
Tacoma, WA 98493-0001

Mailing address

8802 Veterans Dr SW
Lakewood, WA 98498-2565
Phone (253) 584-9532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130530000312 WA Practitioner - Clinical Social Worker 0547408775 Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669579314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 VETERANS DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984982565",
            "telephone_number": "253-584-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUGET SOUND HEALTH CARE SYSTEM AMERICAN LAKE DV",
            "address_2": "9600 VETERANS DR. SW BLDG 61 B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930001",
            "telephone_number": "253-582-8440",
            "fax_number": "253-589-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.