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KIMBERLY ELISE MOULOS
NPI 1245999259
Social Worker in Pittsburgh, PA

Active since December 17, 2021PECOS Enrolled
308 SALINE ST APT 3, PITTSBURGH, PA 15207(630) 430-6488 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Elise Moulos NPPES

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

KIMBERLY ELISE MOULOS (NPI 1245999259) is an individual social worker in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SW138685) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245999259
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKIMBERLY ELISE MOULOS
Location Address308 SALINE ST APT 3Pittsburgh, PA 15207-1024
Mailing Address308 Saline St Apt 3Pittsburgh, PA 15207-1024 · (630) 430-6488
Phone(630) 430-6488
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1245999259 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 PA · SW138685
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.
308 SALINE ST APT 3, Pittsburgh, PA 15207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Elise Moulos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052899705
PECOS Enrollment IDI20260203001954
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 Reassignments

2

Medicare enrollment records show Kimberly Moulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Persad Center, Inc.
3.8 mi
Mental Health (Including Community Mental Health Center)
5301 BUTLER ST, SUITE 100
Pittsburgh, PA 15201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 16 clinicians in this Medicare group
NPI 1215003447 (412) 441-9786
Sondermind, P.A.
952 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Sondermind PA
  • 70 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279

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 Kimberly Moulos's NPI number?

The NPI number for Kimberly Moulos is 1245999259. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Kimberly Moulos located?

Kimberly Moulos practices at 308 Saline St Apt 3, Pittsburgh, PA 15207. The listed phone number is (630) 430-6488.

What is Kimberly Moulos's specialty?

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

Is Kimberly Moulos enrolled in Medicare?

Yes. Kimberly Moulos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Moulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Moulos reassigns Medicare benefits to 2 organizations: Persad Center, Inc. (Pittsburgh, PA) and Sondermind, P.A. (Wichita, KS). Each 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 Kimberly Moulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Moulos was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.