Active NPI
Adrianna Gregoria Moya, LMSW
- Social Worker
- Lubbock, TX
National Provider Identifier
1841010113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109472
- Practice address
- 5504 Wayne Ave
Lubbock, TX 79414-4137 - Phone
- (806) 855-3050
- NPI assigned
- Oct 11, 2024
- Last updated
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 109472 | TX | Primary |
Addresses
Primary practice location
5504 Wayne Ave
Lubbock, TX 79414-4137
Mailing address
1004 3Rd St
Meadow, TX 79345-3010
Phone (806) 632-1135
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 |
|---|---|---|---|
| 109472 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courtney Walraven LCSW PLLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1841010113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 3RD ST",
"city": "MEADOW",
"state": "TX",
"postal_code": "793453010",
"telephone_number": "806-632-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 WAYNE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144137",
"telephone_number": "806-855-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "ADRIANNA",
"middle_name": "GREGORIA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "109472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.