Kristina Lynn Moes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22047 Issued in CA

Practice address

4880 Market St
Ventura, CA 93003-7783

Phone

(805) 658-7827

Fax

(877) 644-7545

NPI assigned

Mar 28, 2007

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• Era Psychological Services, Inc

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1245873769
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1124147426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SANTA SUSANA CT",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031161",
            "telephone_number": "805-644-7827",
            "fax_number": "877-644-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 MARKET ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037783",
            "telephone_number": "805-658-7827",
            "fax_number": "877-644-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOES",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Guillermo Mizraji, D.D.S.
• MNS Medical Associates
• Mobility Collective Physical Therapy and Wellness Inc
• Anastasia Mobley Tobias
• Douglas Raymond Moes, PH.D., BCBA-D
• Robert Keith Moffatt, MD
• Susan L Moffatt, FNP
• Marcie Mofid, PA-C
• Shirin Moghtanei, PHARMD
• Angela Mohan, MFC 31627

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, 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 Jan 26, 2015; 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.