NICOLE MOODY LLC (NPI# 1295125144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295125144 |
| Entity Type | Organization |
| Organization Name | NICOLE MOODY LLC |
| Practice Address |
201 1/2 E Grand River Ave Suite 3 East Lansing MI 48823-4323 |
| Mailing Address |
Po Box 10 Mason MI 48854-0010 |
| Practice Telephone | 6163895785 |
| Mailing Telephone | 5176769788 |
| Mailing Fax Number | 5176763438 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | NICOLE L MOODY (OWNER) |
| Authorized Official Telephone | 6163895785 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801090018 | MI | Behavioral Health & Social Service Providers |
| Street Address |
201 1/2 E GRAND RIVER AVE SUITE 3 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578835765 | Amanda Oberheu | Mechanotherapist | 201 1/2 E Grand River Ave, Suite 19, East Lansing, MI 48823-4323 | 2012-02-02 |
| 1598198939 | Natalie Denise Boyer | Specialist | 201 1/2 E Grand River Ave, Suite 19, East Lansing, MI 48823-4323 | 2013-08-20 |
| 1346596400 | Shane Denis O'brien | Massage Therapist | 201 1/2 E Grand River Ave, Suite 19, East Lansing, MI 48823-4323 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807385 | Mei Bresnahan | Social Worker | 3496 E Lake Lansing Rd Ste 100, East Lansing, MI 48823-6222 | 2020-09-29 |
| 1336761980 | Carmon Michelle Mcclure-mobley | Social Worker | 2182 Regency Dr, East Lansing, MI 48823-1377 | 2020-05-16 |
| 1376106641 | Autumn De Silva | Social Worker | 300 Bailey St, East Lansing, MI 48823-4444 | 2019-04-22 |
| 1235693656 | Reid Depowski | Social Worker | 4572 S Hagadorn Rd Ste 1c2f, East Lansing, MI 48823-5385 | 2019-01-30 |
| 1053880146 | Lake House Counseling Pllc | Social Worker | 3210 E Lake Lansing Rd, East Lansing, MI 48823-1507 | 2018-11-19 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1720518194 | Anna Giupponi | Social Worker | 300 Bailey St Ste 2, East Lansing, MI 48823-4444 | 2017-06-18 |
| 1790231678 | Liam Aidan Faulkner | Social Worker | 4572 S Hagadorn Rd # Suie1a, East Lansing, MI 48823 | 2016-08-30 |
| 1245617455 | Jacqueline Reine Newsome | Social Worker | 3496 E Lake Lansing Rd Ste 170, East Lansing, MI 48823 | 2015-04-27 |
| 1093136376 | Renewal Counseling Services | Social Worker | 4994 Park Lake Rd, East Lansing, MI 48823-3836 | 2014-01-03 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.