JENNIFER MOYNIHAN, LICENSED CLINICAL SOCIAL WORKER, INC.
NPI 1164115507
Social Worker - Clinical in San Diego, CA
About Jennifer Moynihan, Licensed Clinical Social Worker, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MOYNIHAN, LICENSED CLINICAL SOCIAL WORKER, INC. (NPI 1164115507) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since May 2023. The organization lists Jennifer Leigh Moynihan, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Moynihan, Licensed Clinical Social Worker, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Moynihan, Licensed Clinical Social Worker, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Moynihan, Licensed Clinical Social Worker, Inc.'s NPI number?
The NPI number for Jennifer Moynihan, Licensed Clinical Social Worker, Inc. is 1164115507. It was assigned to this organization in the NPPES registry on May 31, 2023.
Where is Jennifer Moynihan, Licensed Clinical Social Worker, Inc. located?
Jennifer Moynihan, Licensed Clinical Social Worker, Inc. is located at 9815 Carroll Canyon Rd Ste 101, San Diego, CA 92131. The listed phone number is (858) 284-0336.
What is Jennifer Moynihan, Licensed Clinical Social Worker, Inc.'s specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jennifer Moynihan, Licensed Clinical Social Worker, Inc. enrolled in Medicare?
Yes. Jennifer Moynihan, Licensed Clinical Social Worker, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennifer Moynihan, Licensed Clinical Social Worker, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jennifer Moynihan, Licensed Clinical Social Worker, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Moynihan, Licensed Clinical Social Worker, Inc. was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.