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SUSAN MOINI LICSW
NPI 1295069540
Social Worker - Clinical in Kirkland, WA

Active since September 18, 2009Opted out of Medicare · through Apr 2, 2028
11415 NE 128TH ST, SUITE 100, KIRKLAND, WA 98034(425) 773-3677 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Moini Licsw NPPES

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

SUSAN MOINI LICSW (NPI 1295069540) is an individual clinical provider in Kirkland, Washington, licensed in Washington (LW00009062) and active in the NPI registry since September 2009. She has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1295069540
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN MOINICredential: LICSW
Location Address11415 NE 128TH ST, SUITE 100Kirkland, WA 98034-6314
Mailing Address11415 Ne 128th St, Suite 100Kirkland, WA 98034-6314 · (425) 773-3677
Phone(425) 773-3677
Sole ProprietorYes
Enumeration DateSeptember 18, 2009
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1295069540 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 WA · LW00009062
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.
11415 NE 128TH ST, Kirkland, WA 98034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Moini Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024
Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. ANJELETTE FAE MITCHELL MS, CCC-SLP
Speech-Language Pathologist
11415 NE 128TH ST, SUITE 10
KIRKLAND, WA 98034
King County (425) 785-9169
KIMBERLY STALFORD
Behavior Analyst
11415 NE 128TH ST, SUITE 40
KIRKLAND, WA 98034
King County (425) 307-1815
DR. HANAN S. BERMAN PH.D.
Psychologist (Clinical)
11415 NE 128TH ST, SUITE 100
KIRKLAND, WA 98034
King County (425) 823-4869
EVA CLAIRE STOJANOVIC
Behavior Technician
11415 NE 128TH ST, SUITE 40
KIRKLAND, WA 98034
King County (425) 307-1815
TRACEY GERHARDT MS, BCBA
Behavior Analyst
11415 NE 128TH ST, SUITE 40
KIRKLAND, WA 98034
King County (425) 307-1815
MRS. JAYME BRANAGH LANDON LMHC
Counselor (Mental Health)
11415 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 681-7571
COMMUNI-KEY INC
In Home Supportive Care
11415 NE 128TH ST, STE 10
KIRKLAND, WA 98034
King County (425) 495-2554
EMILY CARRANZA B.A
Behavior Analyst
11415 NE 128TH ST, ST 40
KIRKLAND, WA 98034
King County (425) 307-1815

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 Susan Moini's NPI number?

The NPI number for Susan Moini is 1295069540. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Susan Moini located?

Susan Moini practices at 11415 NE 128th St Suite 100, Kirkland, WA 98034. The listed phone number is (425) 773-3677.

What is Susan Moini's specialty?

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

Is Susan Moini enrolled in Medicare?

No. Susan Moini has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Susan Moini accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Susan Moini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Moini was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.