Active NPI
Gail Frances Moran, MSW
- Clinical Social Worker
- Taos, NM
National Provider Identifier
1912312778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-09624
- Practice address
- 107 Plaza Garcia Ste C
Taos, NM 87571-6256 - Phone
- (575) 779-4197
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 864 | NE | |
| Clinical Social Worker | 1041C0700X | 585 | NE | |
| Clinical Social Worker | 1041C0700X | C-09624 | NM | Primary |
Addresses
Primary practice location
107 Plaza Garcia Ste C
Taos, NM 87571-6256
Mailing address
PO Box 2425
Taos, NM 87571-2425
Phone (575) 779-4197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62753703 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-09624 | NM | MD | Clinical Social Worker |
| 864 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquility Health LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1912312778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2425",
"city": "TAOS",
"state": "NM",
"postal_code": "875712425",
"telephone_number": "575-779-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PLAZA GARCIA STE C",
"city": "TAOS",
"state": "NM",
"postal_code": "875716256",
"telephone_number": "575-779-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "GAIL",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "864",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "585",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62753703",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.