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AMANDA PANG FOUA MOUA LICSW
NPI 1407341837
Social Worker - Clinical in Minneapolis, MN

Active since June 27, 2018PECOS Enrolled
1501 XERXES AVE N, MINNEAPOLIS, MN 55411(612) 977-3236(612) 521-3893 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2018, Jun 27, 2018 (2 updates tracked since 2018).

About Amanda Pang Foua Moua Licsw NPPES

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

AMANDA PANG FOUA MOUA LICSW (NPI 1407341837) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (4152565) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407341837
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA PANG FOUA MOUACredential: LICSW
Location Address1501 XERXES AVE NMinneapolis, MN 55411-2851
Mailing Address1501 Xerxes Ave NMinneapolis, MN 55411-2851 · (763) 521-3477 · Fax (763) 521-3893
Phone(612) 977-3236
Fax(612) 521-3893
Sole ProprietorNo
Enumeration DateJune 27, 2018
Last NPPES UpdateJuly 10, 20182 updates tracked since enumeration
✔ NPI 1407341837 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 MN · 4152565
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.
1501 XERXES AVE N, Minneapolis, MN 55411
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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)

Amanda Pang Foua Moua Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Amanda Moua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

3C Hansons
7.9 mi
Mental Health
6625 LYNDALE AVE S STE 440
Richfield, MN 55423
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1780221887 (612) 712-7200

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 55411 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 12

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

BILLY M ANDERSON LICSW, LADC, LPCC
Social Worker (Clinical)
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 522-0100
DR. BRAVADA MAE GARRETT-AKINSANYA PHD, LP, LICSW
Psychologist (Clinical)
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 522-0100
DR. LOLITA KING-BETHEL PHD, LP, LICSW
Psychologist
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 522-0100
MRS. SARAH KATHLEEN WOOLEVER MT-BC, NMT
Music Therapist
1501 XERXES AVE N, 2438 18TH. AVENUE SOUTH
MINNEAPOLIS, MN 55411
Hennepin County (763) 521-3477
MS. LINDA JOYCE ETIM LICSW
Social Worker (Clinical)
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 522-0100
MEGAN SCHMOLL CCC-SLP
Speech-Language Pathologist
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 521-3477
THE FAMILY PARTNERSHIP
Community/Behavioral Health
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 742-5812
AFRICAN AMERICAN CHILD WELLNESS INSTITUTE
Clinic/Center (Mental Health (Including Community Mental Health Center))
1501 XERXES AVE N
MINNEAPOLIS, MN 55411
Hennepin County (763) 522-0100

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 Amanda Moua's NPI number?

The NPI number for Amanda Moua is 1407341837. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Amanda Moua located?

Amanda Moua practices at 1501 Xerxes Ave N, Minneapolis, MN 55411. The listed phone number is (612) 977-3236.

What is Amanda Moua's specialty?

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

Is Amanda Moua enrolled in Medicare?

Yes. Amanda Moua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Moua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Moua reassigns Medicare benefits to 3C Hansons (Richfield, MN). The 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 Amanda Moua'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 Amanda Moua was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.