Individual provider Active NPI

Kevin J Moshier, LCSW

  • Clinical Social Worker
  • Woodbury, CT
National Provider Identifier
1255678959
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007989 Issued in CT
Practice address
51 Sherman Hill Rd
Building a, Suite 104C
Woodbury, CT 06798-3648
Phone
(203) 751-7685
NPI assigned
Jan 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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 007989 CT Primary

Addresses

Primary practice location

51 Sherman Hill Rd
Building a, Suite 104C
Woodbury, CT 06798-3648

Mailing address

161 Westwood Rd
Woodbury, CT 06798-2723
Phone (203) 751-7685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20140604000546 CT Practitioner - Clinical Social Worker 5890924583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Sherman Hill Rd
Suite C101
Woodbury, CT 06798-3650
Phone (203) 837-7538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007989CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Moshier LCSW LLC Clinical CurrentSince Aug 29, 2024 Accepting new patients
Dr. Marina Zatman, MD PC Past Accepting new patients

Locations

39 Sherman Hill Rd
Ste C101
Woodbury, CT 06798
Phone (203) 266-4545

Organizations & group practices 2

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1255678959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WESTWOOD RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982723",
            "telephone_number": "203-751-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERMAN HILL RD",
            "address_2": "BUILDING A, SUITE 104C",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983648",
            "telephone_number": "203-751-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHIER",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

Verify at the official NPI Registry.