Individual provider Active NPI

Andy Moxey, LCSWC

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1275188609
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22393 Issued in MD
Practice address
836 Ritchie Hwy Ste 12F
Severna Park, MD 21146-4133
Phone
(410) 670-9048
NPI assigned
Aug 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 22393 MD Primary

Addresses

Primary practice location

836 Ritchie Hwy Ste 12F
Severna Park, MD 21146-4133

Mailing address

836 Ritchie Hwy Ste 12F
Severna Park, MD 21146-4133
Phone (410) 670-9048

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

LicenseStateTypeSpecialty
22393MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Therapeutic Concepts, LLC. Clinical PastSince Aug 17, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1275188609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 RITCHIE HWY STE 12F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464133",
            "telephone_number": "410-670-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 RITCHIE HWY STE 12F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464133",
            "telephone_number": "410-670-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXEY",
        "first_name": "ANDY",
        "name_prefix": "Mr.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.