Active NPIIndividual providerSole proprietor

Thealisa Moss, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1952170946
Practice location
9 High St Apt W1, Montclair, NJ 07042-2450
Fax
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Last updated
January 1, 2024

Thealisa Moss is a Social Worker, Clinical based in Montclair, NJ. Thealisa Moss practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Thealisa Moss is 1952170946 and holds a License No. 44SC06261700. The current practice location address for Thealisa Moss is 9 High St Apt W1, Montclair, NJ 07042-2450 and can be reached out via phone at 646-346-4165.

Provider Profile Details

NPI Number
1952170946
Provider Name
Thealisa Moss
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
9 High St Apt W1, Montclair, NJ 07042-2450
Phone Number
646-346-4165
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 1, 2024
Last Update Date
January 1, 2024
Certification Date
January 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 High St Apt W1
Montclair, NJ 07042-2450
Zip
07042-2450
Phone Number
646-346-4165
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
9 High St Apt W1
Montclair, NJ 07042-2450
City
Montclair
State
NJ
Zip
07042-2450
Phone Number
646-346-4165

License Information

License Number
44SC06261700
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Thealisa Moss, LCSW?

The NPI number of Thealisa Moss, LCSW is 1952170946. It was assigned on January 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Thealisa Moss, LCSW?

Thealisa Moss, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed under license number 44SC06261700.

Where does Thealisa Moss, LCSW practice?

The practice location is 9 High St Apt W1, Montclair, NJ 07042-2450. The office can be reached at 646-346-4165 (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 1952170946 directly on the NPPES registry website.

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