Individual provider Active NPI

Shulem Moskowitz

  • School Social Worker
  • Monroe, NY
National Provider Identifier
1316466279
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
845 New York 17M,
Monroe, NY 10950
Phone
(845) 425-5252
NPI assigned
Sep 12, 2017
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NU Primary

Addresses

Primary practice location

845 New York 17M,
Monroe, NY 10950

Mailing address

3 Sasev CT Unit 311
Monroe, NY 10950-5946

Other practice location 1

926 Bedford Ave
Brooklyn, NY 11205-3913
Phone (718) 875-6900

Other practice location 2

3 Sasev Ct Unit 311
Monroe, NY 10950-5946
Phone (347) 452-4856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015002684 NY Practitioner - Clinical Social Worker 8224408224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Yedei Chesed IncGroup PAC ID 5395115216, 7 clinicians

Practice addresses (Care Compare)

48 Scotland Hill Rd
Chestnut Ridge, NY 10977-5837
Phone (845) 425-0887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093737NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yedei Chesed Inc CurrentSince Jul 26, 2024 Accepting new patients
Community Assistance Resources & Extended Services Inc CurrentSince Dec 1, 2024 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Dec 22, 2025 Accepting new patients
Pesach Tikvah Hope Development Inc Past Accepting new patients
Pesach Tikvah Hope Development Inc Past Accepting new patients
Shulem Shalva Services LCSW P.C. Past Accepting new patients

Locations

777 Chestnut Ridge Rd
Ste 1A
Chestnut Ridge, NY 10977
Phone (845) 425-0887

465 Grand St
New York, NY 10002
Phone (212) 420-1970

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

48 Scotland Hill Rd
Spring Valley, NY 10977
Phone (845) 425-0887

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1316466279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SASEV CT UNIT 311",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NEW YORK 17M,",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-425-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112053913",
            "country_code": "US",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Sasev Ct Unit 311",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109505946",
            "country_code": "US",
            "telephone_number": "347-452-4856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "SHULEM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.