Individual provider Active NPI

Clare H Moss, LCSW

  • Clinical Social Worker
  • Falmouth, ME
National Provider Identifier
1497012330
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC 4424 Issued in ME
Practice address
98 Clearwater Dr Ste 4
Falmouth, ME 04105-1397
Phone
(207) 415-2554
Fax
(207) 406-2331
NPI assigned
Apr 17, 2012
Last updated
Dec 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4424 ME
Clinical Social Worker 1041C0700X LC 4424 ME Primary

Addresses

Primary practice location

98 Clearwater Dr Ste 4
Falmouth, ME 04105-1397

Mailing address

14 Breckan Rd
Brunswick, ME 04011-3414
Phone (207) 415-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000778 ME Practitioner - Clinical Social Worker 5496911265 Practice locations: Falmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 Clearwater Dr
Suite 4
Falmouth, ME 04105-1397
Phone (207) 415-2554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC 4424MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1497012330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRECKAN RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113414",
            "telephone_number": "207-415-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DR STE 4",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051397",
            "telephone_number": "207-415-2554",
            "fax_number": "207-406-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "CLARE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC4424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC 4424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.