| Kevin Moshier Lcsw Llc | |
|
39 Sherman Hill Rd Ste C101 Woodbury CT 06798-3650 | |
| (203) 837-7538 | |
| Not Available |
| Full Name | Kevin Moshier Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 39 Sherman Hill Rd Ste C101, Woodbury, Connecticut |
| Authorized Official Name and Position | Kevin J Moshier (OWNER) |
| Authorized Official Contact | 2038377538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Moshier Lcsw Llc 161 Westwood Rd Woodbury CT 06798-2723 Ph: (203) 837-7538 | Kevin Moshier Lcsw Llc 39 Sherman Hill Rd Ste C101 Woodbury CT 06798-3650 Ph: (203) 837-7538 |
| NPI Number | 1558183913 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 0446783229 |
|---|---|
| Medicare Enrollment ID | O20241031003746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558183913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin J Moshier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255678959 PECOS PAC ID: 5890924583 Enrollment ID: I20140604000546 |
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