MEDICARE: JADE NICOLE MOROS LLMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	6851120764	MI

General Provider Information

NPI Number	:	1093670556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE NICOLE MOROS LLMSW

Provider Business Mailing Address
First Line	:	300 RIVER PLACE DR STE 4950
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-4457
Country	:	US
Telephone Number	:	517-630-2379
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 RIVER PLACE DR STE 4950
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-4457
Country	:	US
Telephone Number	:	517-630-2379
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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