Individual provider Active NPI

Joan Deborah Moyer, MSW, LCSW

  • Clinical Social Worker
  • Rancho Mirage, CA
National Provider Identifier
1851411987
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16819 Issued in CA
Practice address
41750 Rancho Las Palmas Dr K-1
Rancho Mirage, CA 92270-5514
Phone
(760) 636-0314
Fax
(760) 636-1496
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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 LCS16819 CA Primary

Addresses

Primary practice location

41750 Rancho Las Palmas Dr K-1
Rancho Mirage, CA 92270-5514

Mailing address

PO Box 774
Rancho Mirage, CA 92270-0774
Phone (760) 636-0314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080301000077 CA Practitioner - Clinical Social Worker 6305920265 Practice locations: Marina del Rey, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Marina del Rey, CA 90292
Phone (760) 636-0314

13157 Mindanao Way PMB
Suite 317
Marina del Rey, CA 90292-6307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS16819CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly a. Ellis Clinical PastSince May 20, 2016 Accepting new patients
Jewish Family Service of the Desert PastSince Jul 8, 2012 Accepting new patients

Organizations & group practices 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1851411987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700774",
            "telephone_number": "760-636-0314",
            "fax_number": "760-636-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR K-1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705514",
            "telephone_number": "760-636-0314",
            "fax_number": "760-636-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "JOAN",
        "middle_name": "DEBORAH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.