Chioma Moronu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57813 Issued in TX

Practice address

3000 S Hulen St Ste 124-656
Fort Worth, TX 76109-1929

Phone

(682) 200-3015

NPI assigned

Aug 8, 2019

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

Practice roles

Locations

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.

• Social Soul Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
  • NPI 1114691789
  NPD Authorized official
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1861047565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST STE 124-656",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091929",
            "telephone_number": "682-200-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST STE 124-656",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091929",
            "telephone_number": "682-200-3015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7524 Mosier View Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761187122",
            "country_code": "US",
            "telephone_number": "817-459-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORONU",
        "first_name": "CHIOMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Morgan Jr., COTA
• Tiffanie Nicole Morgan, MS CCC-SLP
• Nina Moriarty, LCSW
• Jason R. Morningstar, CRNA
• Adunni M. Morohunfola, M.D.
• Meghan Moroze
• Morris Chiropractic
• Andrew Carter Morris, D.O.
• Annette Morris, RN
• Arnold J Morris III, DO

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.