MEDICARE: MS. SHARON L MOSS MSW,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	R042064	NY
2	1041S0200X	School Social Worker		NY

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	:	1295954543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON L MOSS MSW,LCSW

Provider Business Mailing Address
First Line	:	14 LEROY ST
Second Line	:
City	:	BINGHAMTON
State	:	NY
Zip	:	13905-4603
Country	:	US
Telephone Number	:	607-722-1918
Fax Number	:	607-724-3865

Provider Business Practice Location Address
First Line	:	175 WYOK RD
Second Line	:
City	:	JOHNSON CITY
State	:	NY
Zip	:	13790-4223
Country	:	US
Telephone Number	:	607-754-7117
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	09/11/2025

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