Meghan Cain-Moss, LICSW
Individual provider Active NPI Clinical Social Worker · New Hope, MN
NPI 1912282963 · NPPES record last updated Nov 29, 2023
Key facts
- NPI
- 1912282963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 21815 (MN)
- Practice address
- 5555 Boone Ave N
New Hope, MN 55428-3636 - Phone
- (651) 774-0011
- Fax
- (651) 774-0606
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208001063 | MN | Practitioner - Clinical Social Worker | 7719336379 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21815 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People Incorporated | Current |
Accepting new patients | |
| People Incorporated | Current | Accepting new patients |
Locations
2120 Park Ave
Minneapolis, MN 55404
Phone (612) 872-2000
1930 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 427-7964
5555 Boone Ave N
New Hope, MN 55428
Phone (763) 331-3033
3000 Ames Crossing Rd
Ste 600
Saint Paul, MN 55121
Phone (651) 288-3467
317 York Ave
Saint Paul, MN 55130
Phone (651) 771-0286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21815 | MN | Yes |
Addresses
Primary practice location
5555 Boone Ave N
New Hope, MN 55428-3636
Mailing address
3000 Ames Crossing Rd Ste 600
Eagan, MN 55121-2519
Phone (651) 774-0011
Other providers in New Hope, MN
- Bryan J. Ophaug, D.D.S., P.a.
- Jordyn Leigh Bryant
- Gina Marie Buchal
- Lisa Burkauskas
- Elizabeth Burton
- Laura Campion
- Carter C Reese DDS LTD
- Carter C Reese DDS LTD
- Courtney Cashman
- Alyson E Castleman
All providers in New Hope, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.