Individual provider Active NPI

Michael Edward Moyeroff, LCSW

  • Clinical Social Worker
  • Butler, PA
National Provider Identifier
1780692764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW011877L Issued in PA
Practice address
901 E Brady St
Suite 103
Butler, PA 16001-4648
Phone
(724) 282-1627
Fax
(724) 282-4810
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW011877L PA Primary

Addresses

Primary practice location

901 E Brady St
Suite 103
Butler, PA 16001-4648

Mailing address

901 E Brady St
Suite 103
Butler, PA 16001-4648
Phone (724) 282-1627

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
I20040413000706 PA Practitioner - Clinical Social Worker 6608860531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Facilities IncGroup PAC ID 8325956592, 37 clinicians

Practice addresses (Care Compare)

111 Hazel Lane
Suite 300
Sewickley, PA 15143-1253

111 Hazel LN
Suite 300
Sewickley, PA 15143-1253
Phone (412) 749-7330

612 Lincoln Ave
Bellevue, PA 15202-3406
Phone (412) 749-6930

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW011877LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Jul 16, 2003 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jul 16, 2003 Accepting new patients
PBS Mental Health Associates, P.C. Past Accepting new patients

Locations

200 Ohio River Blvd
Baden, PA 15005

111 Hazel Ln
Ste 300
Sewickley, PA 15143
Phone (412) 749-7330

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780692764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "address_2": "SUITE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-282-1627",
            "fax_number": "724-282-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "address_2": "SUITE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-282-1627",
            "fax_number": "724-282-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYEROFF",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW011877L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.