Individual provider Active NPI

Linda K Moyer, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1790715779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071012 Issued in NY
Practice address
3580 Harlem Rd
Buffalo, NY 14215-2048
Phone
(716) 836-6460
Fax
(716) 836-1578
NPI assigned
Jul 4, 2006
Sex
Female
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 071012 NY Primary

Addresses

Primary practice location

3580 Harlem Rd
Buffalo, NY 14215-2048

Mailing address

3580 Harlem Rd
Buffalo, NY 14215-2048
Phone (716) 836-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171127001669 NY Practitioner - Clinical Social Worker 1052384955 Reassigns benefits to 1 organization
Practice locations: Amherst, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Nov 17, 2018 Accepting new patients
Senior Living Behavioral Health, PLLC Clinical Past Accepting new patients
Life Transitions Center, Inc. Past Accepting new patients

Locations

4071 Hardt Rd
Eden, NY 14057
Phone (716) 992-4466

747 3rd Ave
Fl 2
New York, NY 10017
Phone (516) 387-2375

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790715779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152048",
            "telephone_number": "716-836-6460",
            "fax_number": "716-836-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152048",
            "telephone_number": "716-836-6460",
            "fax_number": "716-836-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.