Susan Dreifus Moscov, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS9161 Issued in CA

Practice address

530 Wilshire Blvd
Ste 306
Santa Monica, CA 90401-1421

Phone

(310) 458-6643

Fax

(310) 260-1181

NPI assigned

Oct 25, 2005

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1124018742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD",
            "address_2": "STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011421",
            "telephone_number": "310-458-6643",
            "fax_number": "310-260-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD",
            "address_2": "STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011421",
            "telephone_number": "310-458-6643",
            "fax_number": "310-260-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOV",
        "first_name": "SUSAN",
        "middle_name": "DREIFUS",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noushin Morshed, D.M.
• Katie D Mortimer
• David Mortley
• Linda Lee Morton, M.D.
• Haleh Mosbat, PHARM.D
• Rebecca Moseley
• Kathryn Lisa Moses
• Biyashee Daba Mosissa, MD
• Jason Moskovitz
• Lauree E. Moss, M.S.W.

• Clinical Social Worker in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.