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MARY K MORIARTY LICSW MFT NPI 1669461901


NPI Information

NPI: 1669461901
Provider Name: MARY K MORIARTY, LICSW, MFT
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
4825 HIGHWAY 55
SUITE 144
GOLDEN VALLEY, MN
ZIP 55422
Phone: (763) 546-6718
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Mary K Moriarty, LICSW, MFT is a clinical social worker in Golden Valley, MN. The provider is 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. Mary K Moriarty, LICSW, MFT NPI is 1669461901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4825 HIGHWAY 55
SUITE 144
GOLDEN VALLEY, MN
ZIP 55422-147
Phone: (763) 546-6718
Fax: (763) 546-6725

The enumeration date for this NPI number is 10/19/2005 and was last updated on 7/8/2007.


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
11041C0700XSocial WorkerClinical357MINNESOTAYes
2106H00000XMarriage & Family Therapist56MINNESOTAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
157B23MOOTHERMINNESOTABLUECROSS
2106507OTHERMINNESOTAUCARE
340037OTHERMINNESOTABEHAVIORAL HEALTHCARE
4099373OTHERMINNESOTAMANAGED HEALTH NETWORK
557B24MOOTHERMINNESOTABLUECROSS INDIVIDUAL
66220253OTHERMINNESOTAMEDICA
70004274510OTHERMINNESOTAAETNA
887726OTHERMINNESOTAUNITED HEALTHCARE
933967OTHERMINNESOTACERIDIAN
102815870OTHERMINNESOTAUNITED BEHAVIORAL HEALTH
11N009275OTHERMINNESOTACHAMPUS
1254340OTHERMINNESOTACIGNA

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: 5/5/2024

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