Individual provider Active NPI

Lori Moussapour, LCSW

  • Clinical Social Worker
  • Larchmont, NY
National Provider Identifier
1689739773
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092763 Issued in NY
Practice address
1 Chatsworth Ave Unit 575
Larchmont, NY 10538-7542
Phone
(914) 488-4673
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092763 NY Primary
Social Worker 104100000X 669841 NY

Addresses

Primary practice location

1 Chatsworth Ave Unit 575
Larchmont, NY 10538-7542

Mailing address

1 Chatsworth Ave Unit 575
Larchmont, NY 10538-7542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 5, 2026 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
092763NYMDSocial Worker
669841NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Moussapour LCSW PLLC Clinical CurrentSince Jun 30, 2024 Accepting new patients

Locations

1 Chatsworth Ave
Unit 575
Larchmont, NY 10538
Phone (914) 488-4673

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1689739773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHATSWORTH AVE UNIT 575",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105387542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHATSWORTH AVE UNIT 575",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105387542",
            "telephone_number": "914-488-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSAPOUR",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092763",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "669841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.