MEDICARE: LAUREN CATHERINE MOSKOWITZ LMSW

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	104100000X	Social Worker	103182	NY

General Provider Information

NPI Number	:	1043888530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CATHERINE MOSKOWITZ LMSW

Provider Business Mailing Address
First Line	:	10910 QUEENS BLVD APT 11E
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10910 QUEENS BLVD APT 11E
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5324
Country	:	US
Telephone Number	:	516-987-8073
Fax Number	:

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

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	06/11/2021

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Directions to “ LAUREN CATHERINE MOSKOWITZ LMSW” Practice Location

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