MOXIE LICENSED CLINICAL SOCIAL WORKER CORP NPI 1497424196

NPI Information

NPI: 1497424196
Provider Name: MOXIE LICENSED CLINICAL SOCIAL WORKER CORP
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1219 COOMBS ST STE D
NAPA, CA
ZIP 94559
Phone: (707) 690-0745
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MOXIE LICENSED CLINICAL SOCIAL WORKER CORP is a mental health counselor in Napa, CA. MOXIE LICENSED CLINICAL SOCIAL WORKER CORP NPI is 1497424196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1219 COOMBS ST STE D
NAPA, CA
ZIP 94559-505
Phone: (707) 690-0745

The provider's authorized official is Jennifer Inman Hampton .
The authorized official title is President/owner and has the following contact phone number (707) 690-0745.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 9/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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