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NPI Code Detail

MEDICARE: SAMANTHA MOSLEY LCSW

MEDICARE: SAMANTHA MOSLEY 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1770131286
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MOSLEY LCSW
Provider Business Mailing Address
First Line : 168 E REYNOLDS RD STE 150
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-1360
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 168 E REYNOLDS RD STE 150
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-1360
Country : US
Telephone Number : 859-212-3180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 01/08/2026

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