Active NPI
Jane Moffett
- Clinical Social Worker
- New York, NY
National Provider Identifier
1073971826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R025021-1
- Practice address
- 445 5TH Ave
24G
New York, NY 10016-0133 - Phone
- (914) 841-0174
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R025021-1 | NY | Primary |
Addresses
Primary practice location
445 5TH Ave
24G
New York, NY 10016-0133
Mailing address
445 5TH Ave
Apartment 24G
New York, NY 10016-0133
Phone (914) 841-0174
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 |
|---|---|---|---|
| R025021-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1073971826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 5TH AVE",
"address_2": "APARTMENT 24G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160133",
"telephone_number": "914-841-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 5TH AVE",
"address_2": "24G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160133",
"telephone_number": "914-841-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "JANE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R025021-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.