Individual provider Active NPI

Marilyn Audrey Moskowitz, MFT LCSW

  • Clinical Social Worker
  • El Centro, CA
National Provider Identifier
1992892939
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11375 Issued in CA
Practice address
300 S Imperial Ave Ste 6
El Centro, CA 92273
Phone
(760) 356-0068
Fax
(760) 352-5422
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS11375 CA Primary
Marriage & Family Therapist 106H00000X MFT16488 CA

Addresses

Primary practice location

300 S Imperial Ave Ste 6
El Centro, CA 92273

Mailing address

PO Box 1203
El Centro, CA 92244-1203
Phone (760) 356-0068

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

LicenseStateTypeSpecialty
LCS11375CAMDClinical Social Worker
MFT16488CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1992892939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1203",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922441203",
            "telephone_number": "760-356-0068",
            "fax_number": "760-352-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S IMPERIAL AVE STE 6",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92273",
            "telephone_number": "760-356-0068",
            "fax_number": "760-352-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "MARILYN",
        "middle_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "MFT LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11375",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT16488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.