Individual provider Active NPI

Irwin Moss, LCSWR

  • Clinical Social Worker
  • Bedford Hills, NY
National Provider Identifier
1083759443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073907-1 Issued in NY
Practice address
333 Adams St
Bedford Hills, NY 10507-2001
Phone
(914) 242-0725
Fax
(914) 242-5152
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073907-1 NY Primary

Addresses

Primary practice location

333 Adams St
Bedford Hills, NY 10507-2001

Mailing address

333 Adams St
Bedford Hills, NY 10507-2001
Phone (914) 242-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000322 NY Practitioner - Clinical Social Worker 3476849217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Therapy Center LLPGroup PAC ID 4789653577, 14 clinicians

Practice addresses (Care Compare)

333 Adams St
Bedford Hills, NY 10507-2001
Phone 9142420725101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073907-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC CurrentSince Jul 5, 2016 Accepting new patients

Locations

333 Adams St
Bedford Hills, NY 10507
Phone (914) 241-0758

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083759443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-242-0725",
            "fax_number": "914-242-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-242-0725",
            "fax_number": "914-242-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "IRWIN",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073907-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.