John Edward Moss III, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017924 Issued in NC

Practice address

416 McCullough Dr Ste 100
Charlotte, NC 28262-4386

Phone

(704) 237-4240

NPI assigned

Jun 22, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1295466068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 HARRIS POND DR APT F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282699313",
            "telephone_number": "434-429-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624386",
            "telephone_number": "704-237-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Louise Moss, LPC
• Brianna Lynn Moss, PA-C
• David Scott Moss, M.D.
• Emory Ashton Moss, PHARMD
• James Anthony David Moss, NP
• Lindsey Meadows-Russ Moss, LCSW
• Marlynn Aisha Moss
• Sarah Goldstein Moss, OTR
• Moterum Health Services Management LLC
• Mother Nature's Homegirl Dba Avp Nutrition

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.