Active NPI
Susan Moeller, LCSW
- Social Worker
- Westbury, NY
National Provider Identifier
1912336348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 081133-1
- Practice address
- 231 Saint Brigids LN
Westbury, NY 11590-1905 - Phone
- (516) 338-5280
- Fax
- (516) 338-5283
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 081133-1 | NY | Primary |
Addresses
Primary practice location
231 Saint Brigids LN
Westbury, NY 11590-1905
Mailing address
231 Saint Brigids LN
Westbury, NY 11590-1905
Phone (516) 338-5280
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
| License | State | Type | Specialty |
|---|---|---|---|
| 081133-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sco Family of Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Westbury, NY
- NPI 1538468483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1912336348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SAINT BRIGIDS LN",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901905",
"telephone_number": "516-338-5280",
"fax_number": "516-338-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SAINT BRIGIDS LN",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901905",
"telephone_number": "516-338-5280",
"fax_number": "516-338-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "081133-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.