Individual provider Active NPI

Nancy L Moses, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1831372325
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4211 Issued in KS
Practice address
719 Masscht St # 104
Lawrence, KS 66044-2345
Phone
(785) 979-9581
Fax
(785) 856-6006
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 564 KS
Clinical Social Worker 1041C0700X 4211 KS Primary

Addresses

Primary practice location

719 Masscht St # 104
Lawrence, KS 66044-2345

Mailing address

719 Masscht St # 104
Lawrence, KS 66044-2345
Phone (785) 979-9581

Other practice location 1

7133 W 95th St Ste 216
Overland Park, KS 66212-2248
Phone (785) 979-9581

Other identifiers 1

IdentifierTypeStateIssuer
200537790CMedicaidKS

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

LicenseStateTypeSpecialty
564KSMDAddiction (Substance Use Disorder) Counselor
4211KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1831372325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 MASSCHT ST # 104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442345",
            "telephone_number": "785-979-9581",
            "fax_number": "785-856-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MASSCHT ST # 104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442345",
            "telephone_number": "785-979-9581",
            "fax_number": "785-856-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7133 W 95th St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662122248",
            "country_code": "US",
            "telephone_number": "785-979-9581",
            "fax_number": "785-856-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "564",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200537790C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.