Lea Kobayashi-Moore, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05791000 Issued in NJ

Practice address

121 Cedar LN Ste 2D
Teaneck, NJ 07666-4457

Phone

(201) 315-6420

NPI assigned

Feb 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lea Kobayashi Former name

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": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1447524327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 SAGAMORE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662609",
            "telephone_number": "201-315-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN STE 2D",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-315-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "573 Isham St",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100342030",
            "country_code": "US",
            "telephone_number": "646-387-1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "483 Sagamore Ave",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076662609",
            "country_code": "US",
            "telephone_number": "646-387-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBAYASHI-MOORE",
        "first_name": "LEA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05791000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "KOBAYASHI",
            "credential": "L.M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Klein, D.D.S.
• Linda G Klempner, PHD
• Martin Kluger, PHD
• Leah Knapp, PSYD
• Sharon Knoll, DMD
• Sara Kohanim, DPT
• Ayelet Kohenbash
• Robert S Kolatac, DMD
• Neil Harris Kolsky, MD
• Vasantha Kondamudi, MD

• Clinical Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.