Julia Kimberly Moen, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9248 Issued in MN

Practice address

821 Raymond Ave
Suite 440
Saint Paul, MN 55114-1503

Phone

(651) 642-9318

Fax

(651) 642-1908

NPI assigned

Feb 1, 2015

Last updated

Feb 1, 2015By the provider in NPPES

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)

Enrolled

State licenses

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.

• Julia Moen, LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1285027045
  Authorized official Same address or phone

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1841680659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MONTROSE LN",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161134",
            "telephone_number": "651-698-4252",
            "fax_number": "651-698-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE",
            "address_2": "SUITE 440",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-642-9318",
            "fax_number": "651-642-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "JULIA",
        "middle_name": "KIMBERLY",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Moe
• Tye S Moe, D.C.
• Karen A Moeller, MD
• Megan Moelter
• Gretchen A Moen, DNP, APRN, CPNP
• Linda Moen, RN
• Lindsay Tessa Moen, D.P.T.
• Mellissa Mary Moen, OTR
• Keith A Moench, M.D.
• Thomas B Moffat, CRNA

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.