Heidi Lynn Moesch

Primary specialty

Social WorkerTaxonomy code 104100000X

License

099136 Issued in NY

Practice address

313 3Rd St
Ithaca, NY 14850-3458

Phone

(607) 216-6833

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1821842550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 3RD ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503458",
            "telephone_number": "607-216-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 3RD ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503458",
            "telephone_number": "607-216-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOESCH",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Angelina Mirabella, MS, OTR/L
• Deborah Mitchell
• Robert L Mitchell, MD
• Susan Jane Mitchell
• Anne Modlin
• Aliasghar Mohyuddin, M.D.
• Monica Dacey Molina, LPN
• Molino Physical Therapy, PLLC
• Angela Moltrup, AU.D.
• Christine Leigh Monacelli, FNP

• Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.