Moser Family Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1823 Issued in FL

Legal business name

MOSER FAMILY THERAPY

Practice address

343 E Duval St
Suite 101
Lake City, FL 32055-4088

Phone

(386) 752-7116

Fax

(386) 752-7188

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Mark Moser, M.S.W.NPI 1558574582

Title

Director

Phone

(386) 752-7116

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Behavioral Health Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mark Moser, MSW

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1558574582
  NPD (past) Authorized official
• Paula F Moser, MSW

  • Clinical Social Worker
  • Lake City, FL
  • NPI 1003029042
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1174740815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E DUVAL ST",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554088",
            "telephone_number": "386-752-7116",
            "fax_number": "386-752-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E DUVAL ST",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554088",
            "telephone_number": "386-752-7116",
            "fax_number": "386-752-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSER FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-752-7116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1823",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3423",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "Z134B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND #",
            "identifier": "Z2382",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND #",
            "identifier": "Z7484",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morse Chiropractic LLC
• David Bates Morse, D.C.
• Edward Nelson Morse, DMD
• Katharine L Morse, D.O.M.
• Lindsey Morton, LMHC
• Paula F Moser, MSW
• Amber Brisa Moss, RMHCI
• Madonna Ann Moss, MSW
• Tiffani Mote
• Eyonna M Motley

• Clinical Social Worker in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.