Active NPI
Charlene Moyer
- Social Worker
- South Waverly, PA
National Provider Identifier
1528021334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW0122161
- Practice address
- 356 Loder St
South Waverly, PA 18840-2611 - Phone
- (570) 882-7414
- Fax
- (570) 888-1204
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW0122161 | PA | MD | Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW0122161 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
356 Loder St
South Waverly, PA 18840-2611
Mailing address
356 Loder St
South Waverly, PA 18840-2611
Phone (570) 882-7414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528021334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 LODER ST",
"city": "SOUTH WAVERLY",
"state": "PA",
"postal_code": "188402611",
"telephone_number": "570-882-7414",
"fax_number": "570-888-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 LODER ST",
"city": "SOUTH WAVERLY",
"state": "PA",
"postal_code": "188402611",
"telephone_number": "570-882-7414",
"fax_number": "570-888-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "CHARLENE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW0122161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Waverly, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.