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MISTY DAWN MONIZ LMSW
NPI 1194440453
Social Worker in Pocatello, ID

Active since October 10, 2022PECOS Enrolled
110 E WALNUT ST, POCATELLO, ID 83201(208) 549-7246 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misty Dawn Moniz Lmsw NPPES

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

MISTY DAWN MONIZ LMSW (NPI 1194440453) is an individual social worker in Pocatello, Idaho, licensed in Idaho (LMSW-41670) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194440453
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMISTY DAWN MONIZCredential: LMSW
Location Address110 E WALNUT STPocatello, ID 83201-4570
Mailing Address10857 N Nada LnPocatello, ID 83202-5339 · (120) 860-4442
Phone(208) 549-7246
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1194440453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW-41670
Definition
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.
110 E WALNUT ST, Pocatello, ID 83201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Dawn Moniz Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012367725
PECOS Enrollment IDI20250619002479
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.

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 Misty Moniz's NPI number?

The NPI number for Misty Moniz is 1194440453. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Misty Moniz located?

Misty Moniz practices at 110 E Walnut St, Pocatello, ID 83201. The listed phone number is (208) 549-7246.

What is Misty Moniz's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Misty Moniz enrolled in Medicare?

Yes. Misty Moniz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Misty Moniz was last updated on October 10, 2022. 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.