Individual provider Active NPI

Shannon Mary Moskowitz, LCSW-CC

  • Mental Health Counselor
  • Saco, ME
National Provider Identifier
1235048059
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC26420 Issued in ME
Practice address
31 Pine Ridge Rd
Saco, ME 04072-2120
Phone
(207) 776-2501
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC26420 ME Primary

Addresses

Primary practice location

31 Pine Ridge Rd
Saco, ME 04072-2120

Mailing address

31 Pine Ridge Rd
Saco, ME 04072-2120
Phone (207) 776-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1235048059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE RIDGE RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722120",
            "telephone_number": "207-776-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE RIDGE RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722120",
            "telephone_number": "207-776-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "SHANNON",
        "middle_name": "MARY",
        "credential": "LCSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC26420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.