Active NPI
Nancy L Moran, LCSW
- Clinical Social Worker
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-075909-1
- Practice address
- 55 Horizon Dr
Huntington, NY 11743-4436 - Phone
- (631) 920-8000
- NPI assigned
- Aug 31, 2006
- 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 | R-075909-1 | NY | Primary |
Addresses
Primary practice location
55 Horizon Dr
Huntington, NY 11743-4436
Mailing address
62 Oakdale Rd
Centerport, NY 11721-1531
Phone (631) 871-7316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07300075909 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Church St
Freeport, NY 11520-3833
Phone (516) 868-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-075909-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Child Association Incorporated | Current | Accepting new patients | |
| Newport County Community Mental Health Center, Inc | Current | Accepting new patients |
Locations
114 Church St
Freeport, NY 11520
Phone (516) 868-3030
91 Guy Lombardo Ave
Fl 2
Freeport, NY 11520
Phone (516) 868-3030
65 Valley Rd
Middletown, RI 02842
Phone (401) 431-9870
42 Valley Rd
Middletown, RI 02842
Phone (401) 843-1213
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Freeport, NY
- NPI 1023154507
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Middletown, RI
- NPI 1093713174
-
- Voluntary or Charitable Agency
- East Meadow, NY
- NPI 1174563936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359763200000",
"number": "1275644965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 OAKDALE RD",
"city": "CENTERPORT",
"state": "NY",
"postal_code": "117211531",
"telephone_number": "631-871-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HORIZON DR",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434436",
"telephone_number": "631-920-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-075909-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07300075909",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.