Moira C Haran, R-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071377-1 Issued in NY

Practice address

363 Route 111
Smithtown, NY 11787-4756

Phone

(631) 766-0039

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336252584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 UNIVERSITY HEIGHTS DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902734",
            "telephone_number": "631-766-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874756",
            "telephone_number": "631-766-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAN",
        "first_name": "MOIRA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "R-LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Michael Hansen
• Cady Hansen, M.D.
• Sherry Hansen, LCSW-R
• Michael C. Happes, MD
• Izhar U Haque, MD
• Marjorie Maria Hardware
• Suzanne Harel, LMSW
• Camille Harlow, RN
• Gregory Hoseph Harlow, RN
• Aeisha Harriel

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.