Individual provider Active NPI

Maria Procopio-Moser, LCSW

  • Clinical Social Worker
  • Lansdale, PA
National Provider Identifier
1730591173
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016949 Issued in PA
Practice address
301 Central Dr
Lansdale, PA 19446-4204
Phone
(267) 304-0721
NPI assigned
May 20, 2014
Last updated
May 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016949 PA Primary

Addresses

Primary practice location

301 Central Dr
Lansdale, PA 19446-4204

Mailing address

301 Central Dr
Lansdale, PA 19446-4204

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
I20140730000741 PA Practitioner - Clinical Social Worker 3577789460 Practice locations: Lansdale, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 Central Dr
Lansdale, PA 19446-4204
Phone (267) 304-0721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016949PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Creek Foundation CurrentSince Jun 15, 2014 Accepting new patients
Journey to Healing Counseling Center Clinical Past Accepting new patients

Locations

420 Cowpath Rd
Souderton, PA 18964
Phone (267) 203-1500

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1730591173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CENTRAL DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CENTRAL DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464204",
            "telephone_number": "267-304-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCOPIO-MOSER",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.