Active NPI
Moriah R Lane, LCSW
- Social Worker
- Gloucester, MA
National Provider Identifier
1215510011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 225003
- Practice address
- 29A Emerson Ave
Gloucester, MA 01930-2556 - Phone
- (978) 675-9500
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 225003 | MA | Primary |
Addresses
Primary practice location
29A Emerson Ave
Gloucester, MA 01930-2556
Mailing address
29A Emerson Ave
Gloucester, MA 01930-2556
Phone (978) 675-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22503 | Other | MA | LICENSED CERTIFIED SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225003 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1215510011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29A EMERSON AVE",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302556",
"telephone_number": "978-675-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29A EMERSON AVE",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302556",
"telephone_number": "978-675-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MORIAH",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2021-04-30",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "225003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CERTIFIED SOCIAL WORKER",
"identifier": "22503",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.