TIANA ROSE MOILANEN LCSW
NPI 1104669605
Social Worker - Clinical in Grand Forks, ND

Q: What is Tiana Moilanen's NPI number?

The NPI number for Tiana Moilanen is 1104669605. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Q: What is Tiana Moilanen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tiana Moilanen was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2024PECOS Enrolled

3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, Jan 22, 2026, Jul 30, 2024 and 1 more (4 updates tracked since 2024).

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About Tiana Rose Moilanen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIANA ROSE MOILANEN LCSW (NPI 1104669605) is an individual clinical provider in Grand Forks, North Dakota, licensed in Texas (117630) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104669605

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTIANA ROSE MOILANENCredential: LCSW

Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766

Mailing AddressPo Box 5210Grand Forks, ND 58206-5210

Phone(701) 205-3000

Fax(701) 732-2501

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 13, 2024

Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1104669605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 117630

Definition

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.

3674 S WASHINGTON ST, Grand Forks, ND 58201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiana Rose Moilanen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092255067

PECOS Enrollment IDI20260805003379

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiana Moilanen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peterson Medical Clinics, LLC

Same address

Multi-Specialty

3674 S WASHINGTON ST
Grand Forks, ND 58201

Reassigned Medicare billing, Minnesota and Texas enrollments
71 clinicians in this Medicare group

NPI 1699295774 (701) 205-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.75 – $168.12

Typical copayment $0.00 (range $13.93 – $42.03)

Most-billed visit code NA

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERBIE DARBOUZE PA-C

Physician Assistant