Individual provider Active NPI

Lisa Moscato, LCSW

  • Clinical Social Worker
  • Mattituck, NY
National Provider Identifier
1316565153
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096373 Issued in NY
Practice address
1560 Westview Dr
Mattituck, NY 11952-2950
Phone
(631) 833-1804
NPI assigned
Jul 8, 2020
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 096373 NY Primary

Addresses

Primary practice location

1560 Westview Dr
Mattituck, NY 11952-2950

Mailing address

1560 Westview Dr
Mattituck, NY 11952-2950
Phone (631) 833-1804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240215002553 NY Practitioner - Clinical Social Worker 9537503743 Reassigns benefits to 2 organizations
Practice locations: Mattituck, NY
I20260513001184 MA Practitioner - Clinical Social Worker 9537503743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians

Practice addresses (Care Compare)

100 Cambridge St
Boston, MA 02114-2509
Phone (631) 655-5171

1560 Westview Dr
Mattituck, NY 11952-2950
Phone (631) 655-5171

2381 Hylan Blvd
Suite 13
Staten Island, NY 10306-3145
Phone (718) 494-2858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096373NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Waters LCSW Clinical CurrentSince Sep 13, 2024 Accepting new patients
Integrity Social Work Services LLC Clinical CurrentSince Dec 11, 2023 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

100 Cambridge St
Boston, MA 02114
Phone (603) 600-8513

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (347) 209-7917

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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, 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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1316565153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 WESTVIEW DR",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522950",
            "telephone_number": "631-833-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WESTVIEW DR",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522950",
            "telephone_number": "631-833-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCATO",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattituck, NY

Sources for this page

Verify at the official NPI Registry.