Individual provider Active NPI

Sandra Moscoso, MSW

  • Clinical Social Worker
  • Radcliff, KY
National Provider Identifier
1912423328
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Phone
(270) 268-2228
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 KY Primary

Addresses

Primary practice location

363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302

Mailing address

1115 Wooddale Rd
Brandenburg, KY 40108-1133
Phone (502) 434-8376

Other practice location 1

8151 New LaGrange Rd
1
Louisville, KY 40222-4685
Phone (502) 400-8099

Other identifiers 1

IdentifierTypeStateIssuer
1111111OtherKYMENTAL HEALTH

Other names 1

  • Sandra Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260616000592 KY Practitioner - Clinical Social Worker 8820560469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

889 Spout Springs Rd
Irvine, KY 40336-7433

PO Box
Suite 701059
Louisville, KY 40270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1912423328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WOODDALE RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081133",
            "telephone_number": "502-434-8376",
            "fax_number": "502-473-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401603302",
            "telephone_number": "270-268-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8151 New LaGrange Rd",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224685",
            "country_code": "US",
            "telephone_number": "502-400-8099",
            "fax_number": "502-473-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSCOSO",
        "first_name": "SANDRA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "1111111",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ROBINSON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Radcliff, KY

Sources for this page

Verify at the official NPI Registry.