MEDICARE: MOSKEL COUNSELING SERVICES

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	CW017591	PA

General Provider Information

NPI Number	:	1497134613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSKEL COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	75 FAIRVIEW ST
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-3121
Country	:	US
Telephone Number	:	570-313-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 N BALTIMORE AVE
Second Line	:	BUILDING A, SUITE 2
City	:	MOUNT HOLLY SPRINGS
State	:	PA
Zip	:	17065-1602
Country	:	US
Telephone Number	:	570-313-9400
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER/LCSW
Name	:	LORI ANN MOSKEL
Credential	:	L.C.S.W.
Telephone Number	:	570-313-9400

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	05/20/2015

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