Active NPI
Sue Moravec, MSW
- Clinical Social Worker
- Lancaster, CA
National Provider Identifier
1003362047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW104828
- Practice address
- 43520 Division St
Lancaster, CA 93535 - Phone
- (661) 266-4783
- Fax
- (661) 266-1210
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW83879 | CA | |
| Clinical Social Worker | 1041C0700X | ASW83879 | CA | |
| Clinical Social Worker | 1041C0700X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Clinical Social Worker | 1041C0700X | LCSW104828 | CA | Primary |
Addresses
Primary practice location
43520 Division St
Lancaster, CA 93535
Mailing address
43520 Division St
Lancaster, CA 93535-4089
Phone (661) 266-4783
Other practice location 1
40005 10th St W Ste 106
Palmdale, CA 93551
Phone (661) 265-8627 ext. 2784
Other practice location 2
40005 10th St W Ste 106
Palmdale, CA 93551
Phone (661) 265-8627 ext. 2784
Other practice location 3
506 W Jackman St
Lancaster, CA 93534-2531
Phone (661) 726-2850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW83879 | CA | MD | Mental Health Counselor |
| LCSW104828 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1003362047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354089",
"telephone_number": "661-266-4783",
"fax_number": "661-266-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93535",
"telephone_number": "661-266-4783",
"fax_number": "661-266-1210"
}
],
"practiceLocations": [
{
"address_1": "40005 10th St W Ste 106",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "93551",
"country_code": "US",
"telephone_number": "661-265-8627 x2784",
"fax_number": "661-265-7936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40005 10th St W Ste 106",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "93551",
"country_code": "US",
"telephone_number": "661-265-8627 x2784",
"fax_number": "661-265-7936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 W Jackman St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935342531",
"country_code": "US",
"telephone_number": "661-726-2850",
"fax_number": "661-726-2854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAVEC",
"first_name": "SUE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW83879",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW83879",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW104828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.