Laura Ann Moffett, LCSW
Individual provider Active NPI Clinical Social Worker · Wheat Ridge, CO
NPI 1801418082 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1801418082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09927394 (CO)
- Practice address
- 4851 Independence St
Wheat Ridge, CO 80033-6715 - Phone
- (303) 425-0300
- Fax
- (000) 000-0000
- NPI assigned
- May 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009922344 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Psychology Associates, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009922344 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09927394 | CO | Yes |
Addresses
Primary practice location
4851 Independence St
Wheat Ridge, CO 80033-6715
Mailing address
4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
Other practice location 1
1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300
Other providers in Wheat Ridge, CO
- Helen Marie Mitchell
- Joshua Mitchell
- Natasha Tylene Mitchell
- Stephanie Bernadette Mitchell
- Griffin Mittleman
- Rahmatullah Mohammadi
- Michael William Mohr
- Jordan Narissa Moilanen
- Moksha Mental Health and Wellness
- Roberta Paulette Moland
All providers in Wheat Ridge, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.