Moyosore Paupau Mickens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006466 Issued in CT

Practice address

61 Rock Spring Road
#36
Stamford, CT 06906

Phone

(203) 496-2074

NPI assigned

Jun 21, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• From Now Become, LLC

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1407452386
  NPD Authorized official
• Moyosore Paupau, LLC

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1861636391
  NPD (past)

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1942461090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ROCK SPRING ROAD",
            "address_2": "#36",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06906",
            "telephone_number": "203-496-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROCK SPRING ROAD",
            "address_2": "#36",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06906",
            "telephone_number": "203-496-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUPAU MICKENS",
        "first_name": "MOYOSORE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2022-04-19",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Patten-Rice, MSN, APRN
• Mackenzie Patterson, PA-C
• Kwan Patton, LPC
• Luke Arthur Patton, PA-C
• Deborah G Pauls, LCSW
• Alison Pava, OTR/L
• Jeffrey Brent Pawlecki, M.D.
• Andrea Payo
• Grisell Viviana Paz, D.C
• Judith Pazmino, LPC

• 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 19, 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.