Active NPI
Elissa Moskowitz, L.C.S.W.
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1265635882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077292-1
- Practice address
- 275 14TH Street
Suite 2
Brooklyn, NY 11238-3902 - Phone
- (631) 766-7563
- NPI assigned
- Jun 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077292-1 | NY | Primary |
Addresses
Primary practice location
275 14TH Street
Suite 2
Brooklyn, NY 11238-3902
Mailing address
275 14TH Street
Suite 2
Brooklyn, NY 11238-3902
Phone (631) 766-7563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297846 | Other | NY | PROVIDER NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077292-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1265635882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 14TH STREET",
"address_2": "SUITE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112383902",
"telephone_number": "631-766-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 14TH STREET",
"address_2": "SUITE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112383902",
"telephone_number": "631-766-7563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOWITZ",
"first_name": "ELISSA",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-10",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077292-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "297846",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.