Individual provider Active NPI

Cecil Joseph Moix, MSW LCSW LCSW

  • Social Worker
  • Southfield, MI
National Provider Identifier
1992872162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801004117 Issued in MI
Practice address
20300 Civic Center Drive
Northland Clinic Suite #303
Southfield, MI 48076-4169
Phone
(248) 559-8190
Fax
(248) 559-8776
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801004117 MI Primary

Addresses

Primary practice location

20300 Civic Center Drive
Northland Clinic Suite #303
Southfield, MI 48076-4169

Mailing address

20300 Civic Center Drive
Northand Clinic Suite #303
Southfield, MI 48076-4169
Phone (248) 559-8190

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

LicenseStateTypeSpecialty
6801004117MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992872162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DRIVE",
            "address_2": "NORTHAND CLINIC SUITE #303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764169",
            "telephone_number": "248-559-8190",
            "fax_number": "248-559-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DRIVE",
            "address_2": "NORTHLAND CLINIC SUITE #303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764169",
            "telephone_number": "248-559-8190",
            "fax_number": "248-559-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIX",
        "first_name": "CECIL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801004117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.