Active NPI
Marquita Mooney
- Social Worker
- Waianae, HI
National Provider Identifier
1972238368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW-2914
- Practice address
- 87-1980 Pakeke St Apt L
Waianae, HI 96792-3497 - Phone
- (931) 538-2109
- NPI assigned
- Jul 19, 2022
- 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 | LSW-2914 | HI | Primary |
Addresses
Primary practice location
87-1980 Pakeke St Apt L
Waianae, HI 96792-3497
Mailing address
87-1980 Pakeke St Apt L
Waianae, HI 96792-3497
Phone (931) 538-2109
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW-2914 | HI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1972238368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87-1980 PAKEKE ST APT L",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923497",
"telephone_number": "931-538-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87-1980 PAKEKE ST APT L",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923497",
"telephone_number": "931-538-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "MARQUITA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "LSW-2914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.