MEDICARE: SARAH RIMER MOSS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LSW0000005176	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205156510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH RIMER MOSS LCSW

Provider Business Mailing Address
First Line	:	1300 KENYON ST
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-5636
Country	:	US
Telephone Number	:	865-560-6008
Fax Number	:

Provider Business Practice Location Address
First Line	:	4639 NEWCOM AVE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5131
Country	:	US
Telephone Number	:	865-769-6950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	02/11/2014

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Directions to “ SARAH RIMER MOSS LCSW” Practice Location

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