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NPI Code Detail

MEDICARE: EMILY ADELE MOEWS MSW, LICSW

MEDICARE: EMILY ADELE MOEWS MSW, LICSW
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
11041S0200XSchool Social Worker493451MN
21041C0700XClinical Social Worker25221MN

General Provider Information

NPI Number : 1609674324
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ADELE MOEWS MSW, LICSW
Provider Business Mailing Address
First Line : 1100 GLENWOOD AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1430
Country : US
Telephone Number : 612-767-8767
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GLENWOOD AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1430
Country : US
Telephone Number : 612-871-1454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 06/18/2026

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