Anneliese Moy, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012913 Issued in IL

Legal business name

ANNELIESE MOY, LCSW, LLC

Practice address

1431 N Claremont Ave
2ND FL Pavillion
Chicago, IL 60622-1702

Phone

(773) 615-6538

NPI assigned

Apr 14, 2016

Organization subpart

Yes

Parent organization

ANNELIESE MOY, LCSW,LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Anneliese Moy

Title

Social Work

Phone

(708) 831-1876

Specialties & licenses 1

Addresses

Part of

Anneliese Moy LCSW LLC

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1851745996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221702",
            "telephone_number": "708-831-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N CLAREMONT AVE",
            "address_2": "2ND FL PAVILLION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221702",
            "telephone_number": "773-615-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNELIESE MOY, LCSW, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNELIESE MOY, LCSW,LLC",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "ANNELIESE",
        "authorized_official_title_or_position": "SOCIAL WORK",
        "authorized_official_telephone_number": "708-831-1876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.