Katie Lisa Moorberg, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

083307 Issued in IA

Practice address

1850 Royal Ave
Spirit Lake, IA 51360-1190

Phone

(712) 336-6400

Fax

(612) 725-1098

NPI assigned

Jun 10, 2024

Sex

Female

Sole proprietor

No

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1710729900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ROYAL AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601190",
            "telephone_number": "712-336-6400",
            "fax_number": "612-725-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROYAL AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601190",
            "telephone_number": "712-336-6400",
            "fax_number": "612-725-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 West South Dakota Highway 46",
            "address_purpose": "LOCATION",
            "city": "Wagner",
            "state": "SD",
            "postal_code": "573809369",
            "country_code": "US",
            "telephone_number": "712-336-6400 x6429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORBERG",
        "first_name": "KATIE",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "083307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.