Moira Jane Nelligan, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06862600 Issued in NJ

Practice address

56 Lake Shore Dr
Montville, NJ 07045-9794

Phone

(973) 650-6687

NPI assigned

Jul 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1912735028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282911",
            "telephone_number": "973-650-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LAKE SHORE DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459794",
            "telephone_number": "973-650-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLIGAN",
        "first_name": "MOIRA",
        "middle_name": "JANE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "44SL06862600",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06862600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnelligan@harborlightcounseling.com",
            "affiliation": "N",
            "endpointDescription": "A secure email address for communication between clients, outside providers and therapist.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication between client/providers and therapist",
            "address_1": "56 Lake Shore Dr",
            "city": "Montville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070459794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnelligan@harborlightcounseling.com",
            "affiliation": "N",
            "endpointDescription": "An email address that is secure to receive documentation from clients, outside providers and resources to therapist, if needed.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure communication between therapist and client.",
            "address_1": "56 Lake Shore Dr",
            "city": "Montville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070459794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Montville Township Board of Education
• Mountain Falls Dermatology
• Lauren Muriello, MA, LPC
• Felice Nathans
• Donald Scott Navarro, D.D.S.
• Adrienne Nelson, LPC
• Neuro-Psychological Clinic 1 LLC
• Siu Kin NG
• NJ Ama LLC
• NMD PT LLC

• Social Worker in Montville, NJ
• Providers in Montville, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.