Active NPI
Honey Moua, LGSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1770964694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24117
- Practice address
- 500 Grotto St N
Saint Paul, MN 55104-1754 - Phone
- (651) 760-3236
- Fax
- (651) 222-6025
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 24117 | MN | Primary |
Addresses
Primary practice location
500 Grotto St N
Saint Paul, MN 55104-1754
Mailing address
1225 Saint Clair Ave Apt 5
Saint Paul, MN 55105-2819
Phone (715) 577-7159
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 |
|---|---|---|---|
| 24117 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1770964694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 SAINT CLAIR AVE APT 5",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052819",
"telephone_number": "715-577-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GROTTO ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041754",
"telephone_number": "651-760-3236",
"fax_number": "651-222-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "HONEY",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "24117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.