Active NPI
Laura Beth Moskowitz, MSW, LICSW
- Clinical Social Worker
- Shutesbury, MA
National Provider Identifier
1487729893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106576
- Practice address
- 7 Baker Rd
Shutesbury, MA 01072-9703 - Phone
- (617) 875-4497
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106576 | MA | Primary |
Addresses
Primary practice location
7 Baker Rd
Shutesbury, MA 01072-9703
Mailing address
7 Baker Rd
Shutesbury, MA 01072-9703
Phone (617) 875-4497
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7947107 | Other | MA | AETNA INSURANCE |
| 101774000 | Other | MA | MAGELLAN BEHAVIORAL CARE |
| PO4182 | Other | MA | BLUE CROSS BLUE SHIELD |
| 009501 | Other | MA | PACIFIC CARE BEHAVIORAL H |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106576 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1487729893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BAKER RD",
"city": "SHUTESBURY",
"state": "MA",
"postal_code": "010729703",
"telephone_number": "617-875-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BAKER RD",
"city": "SHUTESBURY",
"state": "MA",
"postal_code": "010729703",
"telephone_number": "617-875-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOWITZ",
"first_name": "LAURA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "7947107",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL CARE",
"identifier": "101774000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PO4182",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC CARE BEHAVIORAL H",
"identifier": "009501",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shutesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.