Kathleen M Moynagh, LICSW
Counselor, Mental Health in Sturbridge, Massachusetts
1780257360- Practice location
- 181 Podunk RD, Sturbridge, MA 01566-1321
- Phone
- 774-230-4309
- Fax
- —
- Last updated
- July 21, 2021
Kathleen Marie Moynagh is a Counselor, Mental Health based in Sturbridge, MA. Kathleen Marie Moynagh practices in Sturbridge, MA and has the professional credentials of LICSW. The NPI Number for Kathleen Marie Moynagh is 1780257360 and holds a License No. 121078-SW-LICSW (MA). The current practice location address for Kathleen Marie Moynagh is 181 Podunk RD, Sturbridge, MA 01566-1321 and can be reached out via phone at 774-230-4309.
Provider Profile Details
- NPI Number
- 1780257360
- Provider Name
- Kathleen Marie Moynagh
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 181 Podunk RD, Sturbridge, MA 01566-1321
- Phone Number
- 774-230-4309
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 21, 2021
- Last Update Date
- July 21, 2021
- Certification Date
- July 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 181 Podunk RD
Sturbridge, MA 01566-1321 - City
- Sturbridge
- State
- Massachusetts
- Zip
- 01566-1321
- Phone Number
- 774-230-4309
Provider Business Mailing Address Details
- Address
- 181 Podunk RD
Sturbridge, MA 01566-1321 - City
- Sturbridge
- State
- MA
- Zip
- 01566-1321
- Phone Number
- 774-230-4309
License Information
- License Number
- 121078-SW-LICSW
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathleen M Moynagh, LICSW?
The NPI number of Kathleen M Moynagh, LICSW is 1780257360. It was assigned on July 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Kathleen M Moynagh, LICSW?
Kathleen M Moynagh, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 121078-SW-LICSW.
Where does Kathleen M Moynagh, LICSW practice?
The practice location is 181 Podunk RD, Sturbridge, MA 01566-1321. The office can be reached at 774-230-4309 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780257360 directly on the NPPES registry website.