Kathleen M Moses, MS MFT LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1343-123 Issued in WI

Practice address

808 Main St E
Menomonie, WI 54751-2735

Phone

(715) 232-1116

Fax

(715) 232-5987

NPI assigned

Jul 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Dunn

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
  • NPI 1588667406

  Clinical

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811918253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6602 470TH ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-232-1116",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS MFT LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1343-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39539900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI PROVIDER NUMBER",
            "identifier": "19677",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darla M Morgan, LPN
• Morning Star Birth Center, Inc
• Morning Star Birth Services, LLC
• Morning Star Health Associates, Inc
• Clint P Moses, DC
• Nora R Moses, DC
• Frances C Munkwitz, DDS
• Annavarapu Gale Murty, M.D.
• Jasen L Myers, PHARMD
• Connie Nadler, CCC-A/SLP

• Clinical Social Worker in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.