Individual provider Active NPI

Jennie M Moskowitz, LCSW

  • Clinical Social Worker
  • Scarborough, ME
National Provider Identifier
1508124058
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC14033 Issued in ME
Practice address
201 US Route 1 Unit 153
Scarborough, ME 04074-8127
Phone
(207) 307-0757
NPI assigned
May 2, 2012
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02220 RI
Clinical Social Worker 1041C0700X 2976 NH
Clinical Social Worker 1041C0700X LC14033 ME Primary

Addresses

Primary practice location

201 US Route 1 Unit 153
Scarborough, ME 04074-8127

Mailing address

201 US Route 1 Unit 153
Scarborough, ME 04074-8127
Phone (207) 307-0757

Other names 1

  • Jennie M Lobb Former name

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
I20220809003748 ME Practitioner - Clinical Social Worker 2466834353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Oak Hill Ter
Suite 211
Scarborough, ME 04074-7912
Phone (207) 307-0757

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC14033MEMDClinical Social Worker
ISW02220RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Change Counseling, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

201 US Route 1
Unit 153
Scarborough, ME 04074
Phone (207) 307-0757

7 Oak Hill Ter
Ste 211
Scarborough, ME 04074
Phone (207) 307-0757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1508124058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 US ROUTE 1 UNIT 153",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748127",
            "telephone_number": "207-307-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 US ROUTE 1 UNIT 153",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748127",
            "telephone_number": "207-307-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "JENNIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2976",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "LOBB",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.