MRS. JESSICA JANE MOELLER (NPI# 1528473352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528473352 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA JANE MOELLER |
| Credential | LLMSW |
| Practice Address |
3111 Electric Ave Port Huron MI 48060-8127 |
| Mailing Address |
4045 Norman Rd Burtchville MI 48059-2116 |
| Practice Telephone | 8109667864 |
| Mailing Telephone | 8108410512 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801095282 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073861902 | Jessica Moeller | Psychologist | 161 N Forge St, Ste 190, Akron, OH 44304-1468 | 2012-08-27 |
| 1770845752 | Jessica Moeller | Speech-Language Pathologist | 4651 Woodstock Rd, Ste 208-202, Roswell, GA 30075-1698 | 2012-06-14 |
| Street Address |
3111 ELECTRIC AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791313 | Genoa Healthcare, LLC | Pharmacy | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-06-20 |
| 1770184202 | Camilla Smith | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-11-02 |
| 1992312425 | Ashley Renock | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1720695240 | Danielle Marie Mitchell | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1417565995 | Keith R Gilbert | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-21 |
| 1710504998 | Caitlin Griswold | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-03 |
| 1508482951 | Elisa Dooley | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-22 |
| 1811513690 | Skye L Paling | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-17 |
| 1457976102 | Kathryn Shaw | Technician, Pathology | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-09 |
| 1518593003 | Joy Daggett | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902430291 | Marissa Holloman | Social Worker | 222 Huron Ave, Port Huron, MI 48060-3822 | 2020-02-26 |
| 1144734955 | Jessica Miller | Social Worker | 1325 19th St, Port Huron, MI 48060-5501 | 2017-12-01 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1891240925 | Megan Hillman | Social Worker | 115 Rural St, Port Huron, MI 48060-4124 | 2016-08-18 |
| 1952700064 | Tiffany L Schultz | Social Worker | 2013 11th St, Port Huron, MI 48060-6226 | 2014-08-14 |
| 1275835787 | Valorie Elizabeth Hudgens | Social Worker | 1042 Griswold St, Suite 2, Port Huron, MI 48060-5867 | 2010-12-03 |
| 1790874410 | Thomas Sudia | Social Worker | 3111 Electric Ave Ste A, Port Huron, MI 48060-8127 | 2006-10-12 |
| 1750472585 | Pamela Lynn Johnson | Social Worker | 230 Military St., Port Huron, MI 48060 | 2006-09-27 |
| 1821104175 | Stacey Ann Redfield | Social Worker | 821 7th St, Port Huron, MI 48060-5324 | 2006-08-21 |
| 1841304995 | Melissa Lynn Way | Social Worker | 2875 Henry St., Port Huron, MI 48060 | 2006-08-18 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MRS. JESSICA JANE MOELLER.
| 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.