MS. STEPHANIE MOONINGHAM (NPI# 1528388170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528388170 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE MOONINGHAM |
| Other Name | MS. STEPHANIE CLEMMER |
| Practice Address |
7865 W Boca Raton Rd Peoria AZ 85381-4687 |
| Mailing Address |
5501 N 19th Ave Suite 310 Phoenix AZ 85015-2450 |
| Practice Telephone | 6239794406 |
| Mailing Telephone | 6024331344 |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2010-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1619 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
7865 W BOCA RATON RD |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| 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 |
|---|---|---|---|---|
| 1336747633 | Latrisha Mooberry | Social Worker | 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 | 2020-10-09 |
| 1407471543 | Vivian Fajardo | Social Worker | 8610 W Paradise Ln, Peoria, AZ 85382-3542 | 2020-06-15 |
| 1912449083 | Denise Rae | Social Worker | 7138 W Sunnyside Dr, Peoria, AZ 85345-8915 | 2016-11-07 |
| 1285009977 | Norma Strong | Social Worker | 8753 W Desert Trl, Peoria, AZ 85381-5121 | 2015-12-06 |
| 1932511284 | Duane Mckillip | Social Worker | 2128 N Wellington Dr, Peoria, IL 61604-3042 | 2014-05-21 |
| 1053610741 | Jennifer Affuso | Social Worker | 13460 N 94th Dr Ste M1, Peoria, AZ 85381-4247 | 2011-03-21 |
| 1952621088 | Alisia Danielle Davis | Social Worker | 6846 W Ironwood Dr, Peoria, AZ 85345-6841 | 2010-06-11 |
| 1427381235 | Bryan Darvell Sanford | Social Worker | 12567 W Mazatzal Dr, Peoria, AZ 85383-0380 | 2009-09-11 |
| 1982844841 | Deborah Jean Simonis-gayed | Social Worker | 2426 W Cornerstone Ct, Peoria, IL 61614-2492 | 2009-03-04 |
| 1023253846 | Douglas Shouse | Social Worker | 7535 W Tumblewood Dr, Peoria, AZ 85382-4821 | 2008-12-08 |
| Find all providers in PEORIA | ||||
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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.