Individual provider Active NPI

Haley J Moskella, LCSW

  • Clinical Social Worker
  • Palmerton, PA
National Provider Identifier
1720490378
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019358 Issued in PA
Practice address
3295 Forest Inn Rd
Suite 3
Palmerton, PA 18071-5467
Phone
(610) 826-8482
Fax
(610) 826-8483
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW131420 PA
Clinical Social Worker 1041C0700X CW019358 PA Primary

Addresses

Primary practice location

3295 Forest Inn Rd
Suite 3
Palmerton, PA 18071-5467

Mailing address

3295 Forest Inn Rd
Suite 3
Palmerton, PA 18071-5467
Phone (610) 826-8482

Other practice location 1

31 W 1st St Ste 1
Wind Gap, PA 18091-1515
Phone (484) 619-5899

Other identifiers 1

IdentifierTypeStateIssuer
103007492MedicaidPA

Other names 1

  • Miss Haley J Boyko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230421000043 PA Practitioner - Clinical Social Worker 4587029855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Pathway to Healing Counseling Services, LLCGroup PAC ID 4284932641, 3 clinicians

Practice addresses (Care Compare)

31 W 1St St
Unit I
Wind Gap, PA 18091-1515
Phone (484) 619-5899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW131420PAMDSocial Worker
CW019358PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Pathway to Healing Counseling Services LLC CurrentSince Jan 1, 2023 Accepting new patients
Vita Counseling Partners Clinical CurrentSince Jul 24, 2022 Accepting new patients

Locations

3295 Forest Inn Rd
Ste 3
Palmerton, PA 18071
Phone (610) 826-8482

31 W 1st St
Unit I
Wind Gap, PA 18091
Phone (484) 619-5899

Organizations & group practices 2

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720490378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD",
            "address_2": "SUITE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "610-826-8482",
            "fax_number": "610-826-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD",
            "address_2": "SUITE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "610-826-8482",
            "fax_number": "610-826-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W 1st St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wind Gap",
            "state": "PA",
            "postal_code": "180911515",
            "country_code": "US",
            "telephone_number": "484-619-5899",
            "fax_number": "610-881-4158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKELLA",
        "first_name": "HALEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW131420",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103007492",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "BOYKO",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.