Organization Active NPI

Andrew Mouldovan LLC

Doing business as Andrew Mouldovan

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1871201863
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANDREW MOULDOVAN LLC
Doing business as
Andrew Mouldovan
Practice address
170 Ainslie St # 1
Brooklyn, NY 11211-4811
Phone
(917) 691-5872
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Andrew Mouldovan, LCSW
Title
Owner
Phone
(917) 691-5873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

170 Ainslie St # 1
Brooklyn, NY 11211-4811

Mailing address

170 Ainslie St # 1
Brooklyn, NY 11211-4811
Phone (917) 691-5872

Other names 1

  • ANDREW MOULDOVAN Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1871201863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AINSLIE ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114811",
            "telephone_number": "917-691-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AINSLIE ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114811",
            "telephone_number": "917-691-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW MOULDOVAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "MOULDOVAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-691-5873",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDREW MOULDOVAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANDREW MOULDOVAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.