Anthony R Moya, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09370 Issued in NM

Practice address

2074 Galisteo St Ste B4
Santa Fe, NM 87505-2157

Phone

(505) 920-2258

Fax

(505) 303-3500

NPI assigned

Mar 29, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Love Your Light LLC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1699284406
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1033434543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE B4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052157",
            "telephone_number": "505-920-2258",
            "fax_number": "505-303-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE B4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052157",
            "telephone_number": "505-920-2258",
            "fax_number": "505-303-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Meadow Therapy
• Mountain Presence Counseling
• Mountain Sage Medico
• Karla Angela Moya-Crites, NP
• Precious Marie Moya-Mier
• Bonnie C Moya, MA, LMHC
• Diana J Moya, R.PH
• Reynaldo Moyco, DDS
• Majid Mubeen, DIPL. O.M. (NCCAOM)
• Richard Dyer Mudd

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.