Individual provider Active NPI

Erin Moss, LCSW

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1265004808
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06005700 Issued in NJ
Practice address
1599 Hamburg Tpke
Wayne, NJ 07470-4093
Phone
(309) 236-2189
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 44SC06005700 NJ Primary

Addresses

Primary practice location

1599 Hamburg Tpke
Wayne, NJ 07470-4093

Mailing address

19 Woodhaven Dr
Wayne, NJ 07470-5164
Phone (309) 236-2189

Other names 1

  • Erin Spirek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220110001021 NJ Practitioner - Clinical Social Worker 5193117836 Reassigns benefits to 1 organization
Practice locations: West Caldwell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Wayne, NJ 07470
Phone (309) 236-2189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Moss LLC Clinical CurrentSince Jan 23, 2024 Accepting new patients

Locations

1599 Hamburg Tpke
Wayne, NJ 07470
Phone (309) 236-2189

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1265004808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODHAVEN DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705164",
            "telephone_number": "309-236-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704093",
            "telephone_number": "309-236-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06005700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SPIREK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.