MEDICARE: ALLISON D MOYEL 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	21698	FL

General Provider Information

NPI Number	:	1912653569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON D MOYEL MSW. LCSW

Provider Business Mailing Address
First Line	:	6215 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7138
Country	:	US
Telephone Number	:	561-386-9505
Fax Number	:

Provider Business Practice Location Address
First Line	:	6215 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7138
Country	:	US
Telephone Number	:	561-386-9505
Fax Number	:

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

Provider Enumeration Date	:	02/22/2022
Last Update Date	:	08/21/2023

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