Moyosore Paupau, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006466 Issued in CT

Legal business name

MOYOSORE PAUPAU, LLC

Practice address

860 Canal St
Stamford, CT 06902-6953

Phone

(203) 496-2074

Fax

(203) 355-2667

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Moysore Paupau-Mickens, LCSW

Title

Owner

Phone

(203) 496-2074

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moyosore Paupau Mickens, LCSW

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1942461090
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1861636391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GLENBROOK RD",
            "address_2": "5Z",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022968",
            "telephone_number": "203-496-2074",
            "fax_number": "203-355-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 CANAL ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026953",
            "telephone_number": "203-496-2074",
            "fax_number": "203-355-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYOSORE PAUPAU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "PAUPAU-MICKENS",
        "authorized_official_first_name": "MOYSORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-496-2074",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lewis Moskowitz, DDS
• Eve K Moskowitz, LCSW
• Robert Moskowitz, M.D.
• Nneka L Mowatt, DPT
• Larry Moy, M.D.
• Mr Optical, LLC
• F Carl Mueller, M D
• Kenneth John Mufson, LCSW
• Janet Mui-Shindel, OT
• Mujer Virtuosa Ministries, Inc. (Entre Amigas)

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.