Active NPI
David Moran, LCSW
- Clinical Social Worker
- Media, PA
National Provider Identifier
1750435616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CS014767
- Practice address
- 200 N Monroe St
Media, PA 19063-2908 - Phone
- (161) 035-7360
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CS014767 | PA | Primary |
Addresses
Primary practice location
200 N Monroe St
Media, PA 19063-2908
Mailing address
803 Pritchard PL
Newtown Square, PA 19073-3035
Phone (610) 357-3609
Other practice location 1
803 Pritchard Pl
Newtown Square, PA 19073-3035
Phone (610) 357-3609
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS014767 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Drug and Alcohol Recovery Center | Past | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Chester, PA
- NPI 1275961518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1750435616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 PRITCHARD PL",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733035",
"telephone_number": "610-357-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MONROE ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632908",
"telephone_number": "161-035-7360"
}
],
"practiceLocations": [
{
"address_1": "803 Pritchard Pl",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190733035",
"country_code": "US",
"telephone_number": "610-357-3609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "DAVID",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CS014767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.