Healthcare Provider Details

I. General information

NPI: 1346507449
Provider Name (Legal Business Name): LAURA B MOSS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA B COHEN LCSW

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 ROUTE 33 STE 101
MONROE TOWNSHIP NJ
08831-7303
US

IV. Provider business mailing address

45 KINGS MILL RD
MONROE TOWNSHIP NJ
08831-8900
US

V. Phone/Fax

Practice location:
  • Phone: 732-306-9198
  • Fax: 609-448-1917
Mailing address:
  • Phone: 732-306-9198
  • Fax: 609-448-1917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC04530500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: