Michael Troy Moses, LCSW108940

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW108940 Issued in CA

Practice address

2245 Bacon St
Concord, CA 94520-2021

Phone

(678) 577-1165

Fax

(925) 680-7987

NPI assigned

May 22, 2013

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1144666744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 BACON ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202021",
            "telephone_number": "678-577-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 BACON ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202021",
            "telephone_number": "678-577-1165",
            "fax_number": "925-680-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MICHAEL",
        "middle_name": "TROY",
        "name_prefix": "Mr.",
        "credential": "LCSW108940",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2022-08-10",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97293",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW108940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicklaus Alan Morton, D.D.S, M.S.
• Omolemo Kassy Mosase
• Sarah Minette Moser
• Bridgett Moses
• Jemila Moses
• Linnea Mosier
• Cameron Mossor
• Taraneh Mostaghasi, M. D.
• Traci Moua
• Mount Diablo Solano Oncology Group Medical Associates

• Clinical Social Worker in Concord, CA
• Providers in Concord, 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 Aug 10, 2022; 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.