Rutendo Faith Moyo, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119257 Issued in MA

Practice address

500 Merrill LN Apt 4
Dracut, MA 01826-4451

Phone

(207) 313-1675

NPI assigned

Oct 7, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Supportive Care of New Hampshire LLCGroup PAC ID 9133506272, 17 clinicians

Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment Care Compare group NPD
• Supportive Behavioral Care of Mass LLC

  • Psychologist
  • Stoneham, MA
  • NPI 1932914223

  Clinical

  Medicare reassignment Care Compare group NPD
• Supportive Care of New Hampshire LLC

  • Clinical Psychologist
  • Derry, NH
  • NPI 1013657618
  Medicare reassignment Care Compare group NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Quincy, MA
  • NPI 1558756759
  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914

  Clinical

  NPD

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1992175624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MERRILL LN APT 4",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264451",
            "telephone_number": "207-313-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MERRILL LN APT 4",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264451",
            "telephone_number": "207-313-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYO",
        "first_name": "RUTENDO",
        "middle_name": "FAITH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P. Mitchell, DMD
• Kristina Danielle Moran, M.S. CCC-SLP
• Samantha Jolene Moran
• Linda M Morin, PT,DPT
• Ajara Mbouombouo Mounchirane
• Tracy Mukami
• Brenna Mullin
• Aram Munene
• Beth Mungai
• Sean Paul Murphy, BS RPH JD

• Clinical Social Worker in Dracut, MA
• Providers in Dracut, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.