Individual provider Active NPI

Lisa Moschello, MSW, LCSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1972664514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04838400 Issued in NJ
Practice address
328 Denison St
Highland Park, NJ 08904-2732
Phone
(732) 688-2652
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04838400 NJ Primary

Addresses

Primary practice location

328 Denison St
Highland Park, NJ 08904-2732

Mailing address

328 Denison St
Highland Park, NJ 08904-2732
Phone (732) 688-2652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240605001900 NJ Practitioner - Clinical Social Worker 8628510690 Practice locations: Highland Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Raritan Ave
Suite 302B
Highland Park, NJ 08904-2752
Phone (732) 688-2652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04838400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972664514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 DENISON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042732",
            "telephone_number": "732-688-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 DENISON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042732",
            "telephone_number": "732-688-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHELLO",
        "first_name": "LISA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04838400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.