Timothy Tyrone Moss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R055782-1 Issued in NY

Practice address

655 7TH St BLDG 700A78
Warner Robins, GA 31098-2227

Phone

(478) 327-0984

NPI assigned

Feb 22, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1316912330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 NETHERLAND DR APT 103",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454317742",
            "telephone_number": "937-241-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700A78",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Netherland Dr Apt 103",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454317742",
            "country_code": "US",
            "telephone_number": "937-241-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "TIMOTHY",
        "middle_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talyndria Mosley
• Moss Family Holdings LLC
• Moss Family Holdings LLC
• Kentrece Moss, LPN
• Kevin Moss
• Gail R. Mouton, CCC-SLP
• MRI & Imaging of Georgia, LLC
• Lina Muhammad
• Bhavana Mundrathi, M.B.B.S.
• Jennifer Heatwole Murphy, MD

• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.