Individual provider Active NPI

Heather Moatz, LCSWC

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1922311869
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16243 Issued in MD
Practice address
18714 N Village
Hagerstown, MD 21742-2454
Phone
(301) 733-0331
Fax
(301) 733-4038
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 16243 MD Primary

Addresses

Primary practice location

18714 N Village
Hagerstown, MD 21742-2454

Mailing address

13121 Brook Lane
Hagerstown, MD 21742-1514
Phone (301) 733-0331

Other practice location 1

18714 N Village
Hagerstown, MD 21742-2454
Phone (301) 733-0331 ext. 184

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16243MDMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Moatz, LLC Clinical Current Accepting new patients

Locations

13327 Wisdom Way
Hagerstown, MD 21742
Phone (240) 406-8870

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922311869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0331",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18714 N VILLAGE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422454",
            "telephone_number": "301-733-0331",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18714 N Village",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422454",
            "country_code": "US",
            "telephone_number": "301-733-0331 x184",
            "fax_number": "301-733-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOATZ",
        "first_name": "HEATHER",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.