Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willie Moss

Individual provider Social Worker · NPI 1568308195

Willie Moss is a Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1250 W Broadway Ave
Minneapolis, MN 55411-2533
Phone: (612) 668-0254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 14912 (MN)

Record details

NPI number1568308195
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address1250 W Broadway Ave, Minneapolis, MN 55411-2533

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