Individual provider Active NPI

Donna C. Moss, MA, LCSW-R

  • Clinical Social Worker
  • Hastings on Hudson, NY
National Provider Identifier
1295824894
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072447 Issued in NY
Practice address
396 Farragut Ave
Hastings on Hudson, NY 10706-4010
Phone
(914) 584-8922
Fax
(914) 470-1852
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 072447 NY Primary

Addresses

Primary practice location

396 Farragut Ave
Hastings on Hudson, NY 10706-4010

Mailing address

396 Farragut Ave
Hastings on Hudson, NY 10706-4010
Phone (914) 584-8922

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
072447NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County - Social Care Network Past 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1295824894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 FARRAGUT AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107064010",
            "telephone_number": "914-584-8922",
            "fax_number": "914-470-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 FARRAGUT AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107064010",
            "telephone_number": "914-584-8922",
            "fax_number": "914-470-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DONNA",
        "middle_name": "C.",
        "credential": "MA, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.