| Erin Moss Llc | |
|
1599 Hamburg Tpke Wayne NJ 07470-4093 | |
| (309) 236-2189 | |
| Not Available |
| Full Name | Erin Moss Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1599 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Erin Moss (LCSW) |
| Authorized Official Contact | 3092362189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Moss Llc 19 Woodhaven Dr Wayne NJ 07470-5164 Ph: () - | Erin Moss Llc 1599 Hamburg Tpke Wayne NJ 07470-4093 Ph: (309) 236-2189 |
| NPI Number | 1154182988 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 8527404359 |
|---|---|
| Medicare Enrollment ID | O20240314002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154182988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erin K Moss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265004808 PECOS PAC ID: 5193117836 Enrollment ID: I20220110001021 |
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