Ms Melissa Faye Moran, LICSW is a
Social Worker - Clinical based in Stacy, Minnesota. Ms Melissa Faye Moran is licensed to practice in Minnesota (license number 18211) and her current practice location is
22625 E Martin Lake Dr Ne, Stacy, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 462-0647.
NPI number for Ms Melissa Faye Moran is 1457693962 and her current mailing address is 22625 E Martin Lake Dr Ne, Stacy, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457693962.
Healthcare Provider's Profile
Full Name | Ms Melissa Faye Moran |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 22625 E Martin Lake Dr Ne, Stacy, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457693962
- Provider Enumeration Date: 03/22/2013
- Last Update Date: 03/22/2013
Medical Identifiers
Medical identifiers for Ms Melissa Faye Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457693962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 18211 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Melissa Faye Moran is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Melissa Faye Moran, LICSW 22625 E Martin Lake Dr Ne, Stacy, MN 55079-9376 Ph: (651) 462-0647 | Ms Melissa Faye Moran, LICSW 22625 E Martin Lake Dr Ne, Stacy, MN 55079-9376 Ph: (651) 462-0647 |
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