Individual provider Active NPI

Sarah Elizabeth Moyer, LMSW

  • Clinical Social Worker
  • Deer Park, NY
National Provider Identifier
1184309403
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099738 Issued in NY
Practice address
770 Grand Blvd Ste 17
Deer Park, NY 11729-5725
Phone
(585) 362-1939
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 099738 NY Primary

Addresses

Primary practice location

770 Grand Blvd Ste 17
Deer Park, NY 11729-5725

Mailing address

4612 Millennium Dr
Geneseo, NY 14454-1197

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
I20251226001837 NY Order and Referring Only - Clinical Social Worker 3476049644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099738NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

770 Grand Blvd
Ste 17
Deer Park, NY 11729
Phone (631) 392-4357

Organizations & group practices 1

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1184309403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 MILLENNIUM DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GRAND BLVD STE 17",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295725",
            "telephone_number": "585-362-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.