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AMY J MOELLER LICSW
NPI 1770676173
Social Worker in Minneapolis, MN

Active since September 30, 2006PECOS Enrolled
2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC TAMS, MINNEAPOLIS, MN 55404(612) 813-6125(612) 872-2338 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy J Moeller Licsw NPPES

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

AMY J MOELLER LICSW (NPI 1770676173) is an individual social worker in Minneapolis, Minnesota, licensed in Minnesota (00911) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770676173
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAMY J MOELLERCredential: LICSW
Location Address2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC TAMSMinneapolis, MN 55404
Mailing Address2910 Centre Pointe Drive, 35 121a Childrens Health CareRoseville, MN 55113 · (651) 855-2109 · Fax (651) 855-2310
Phone(612) 813-6125
Fax(612) 872-2338
Sole ProprietorNo
Enumeration DateSeptember 30, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1770676173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 00911
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 00911 (MN)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy J Moeller 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 Reassignments

2

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

Children's Clinic Network
Primary Care
12720 BASS LAKE RD
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 62 clinicians in this Medicare group
NPI 1013278720 (763) 559-2861
Childrens Health Care
Anatomic Pathology & Clinical Pathology
2525 CHICAGO AVE S
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1053410928 (612) 813-6280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

DAVID R AUGHEY MD
Pediatrics
2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC TAMS
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6125
PETER R LOEWENSON MD
Pediatrics
2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC - TAMS
MINNEAPOLIS, MN 55404
Hennepin County (615) 813-6125
JOANN E JOHNSON MD
Pediatrics
2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC TAMS
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6125
CYNTHIA REED MS LP
Psychologist
2425 CHICAGO AVENUE SOUTH, CHILDRENS PRIMARY CLINIC - TEEN AGE MEDICAL SERVICES
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6125

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 Amy Moeller's NPI number?

The NPI number for Amy Moeller is 1770676173. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Amy Moeller located?

Amy Moeller practices at 2425 Chicago Avenue South Childrens Primary Clinic Tams, Minneapolis, MN 55404. The listed phone number is (612) 813-6125.

What is Amy Moeller's specialty?

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

Is Amy Moeller enrolled in Medicare?

Yes. Amy Moeller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Moeller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Moeller reassigns Medicare benefits to 2 organizations: Children's Clinic Network (Maple Grove, MN) and Childrens Health Care (Minneapolis, MN). 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 Amy Moeller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Moeller accept?

Health plans from HealthPartners list Amy Moeller 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 Amy Moeller was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.