Sandra Lee Moehle, LCSW is a
Social Worker - Clinical based in Hartford, Connecticut. Sandra Lee Moehle is licensed to practice in Connecticut (license number 004535) and her current practice location is
200 Retreat Avenue, Hartford Hospital Psychiatry Department, Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 545-7196.
NPI number for Sandra Lee Moehle is 1447349386 and her current mailing address is Po Box 415933, Hartford Hospital Professional Services, Boston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447349386.
Healthcare Provider's Profile
| Full Name | Sandra Lee Moehle |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 200 Retreat Avenue, Hartford, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447349386
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 06/17/2013
Medical Identifiers
Medical identifiers for Sandra Lee Moehle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447349386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A-3648-SASCC (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 004535 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Lee Moehle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sandra Lee Moehle, LCSW
Po Box 415933, Hartford Hospital Professional Services,
Boston, MA 02241-5933
Ph: (860) 545-7602 | Sandra Lee Moehle, LCSW
200 Retreat Avenue, Hartford Hospital Psychiatry Department,
Hartford, CT 06106-3310
Ph: (860) 545-7196 |
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