Kathleen Fraser Moran, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075313-1 Issued in NY

Practice address

419 Geyser Rd
Ballston Spa, NY 12020-3022

Phone

(518) 587-8810

NPI assigned

May 5, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841402393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIRMOUNT DR",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311455",
            "telephone_number": "518-580-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 GEYSER RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-587-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KATHLEEN",
        "middle_name": "FRASER",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075313-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mockry, LCSW
• Amy Molloy
• Joseph Montemorano, RPH
• Maria Moore
• Rachel Moore, LCSW
• Beth F Mormando, MA CCCSLP
• Kimberly Ann Moryl, CCC-SLP
• John Joseph Mullaney, LCSW
• Catherine Margaret Murphy-Blaisdell, MA, CCC-SLP
• Abigail A Neighmond, D.O.

• Clinical Social Worker in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.