Active NPI
Moira J Dugan, RN
- Social Worker
- Cleveland, OH
National Provider Identifier
1952814410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.0004771-SUPV
- Practice address
- 2500 E 22ND St
Cleveland, OH 44115-3204 - Phone
- (216) 931-1300
- NPI assigned
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I.0004771-SUPV | OH | Primary |
Addresses
Primary practice location
2500 E 22ND St
Cleveland, OH 44115-3204
Mailing address
2500 E 22ND St
Cleveland, OH 44115-3204
Phone (216) 931-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972553063 | Other | OH | BUSINESS NPI |
| 2098359 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20525 Ctr Ridge Rd
Suite 403
Rocky River, OH 44116-3401
Phone (216) 456-5510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0004771-SUPV | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Behavioral Health Services of Greater Cleveland | Current | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
20525 Center Ridge Rd
Ste 403
Rocky River, OH 44116
Phone (216) 456-5510
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Rocky River, OH
- NPI 1659522423
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1952814410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E 22ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153204",
"telephone_number": "216-931-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E 22ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153204",
"telephone_number": "216-931-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "MOIRA",
"middle_name": "J",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.0004771-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS NPI",
"identifier": "1972553063",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098359",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.