MS. JENNIFER LYNN MOSS (NPI# 1124317441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124317441 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN MOSS |
| Credential | LCSW |
| Practice Address |
735 Wilson St Brewer ME 04412-1000 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079455247 |
| Practice Fax Number | 2079470435 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC13862 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001723 | Jennifer Melissa Moss | Marriage & Family Therapist | 12356 Ne Brazee St, Portland, OR 97230-1841 | 2020-04-02 |
| 1326537770 | Jennifer Griffin Moss | Specialist/Technologist, Other | 110 Northwynd Cir Ste B, Lynchburg, VA 24502-3451 | 2018-05-01 |
| 1770087470 | Jennifer Moss | Social Worker | 4251 Kipling St Unit 560, Wheat Ridge, CO 80033-6800 | 2018-03-19 |
| 1396031928 | Jennifer Tracy Moss | Speech-Language Pathologist | 11373 Sandstone Hill Ter, Boynton Beach, FL 33473-7805 | 2011-06-22 |
| 1508019993 | Jennifer M Moss | Obstetrics & Gynecology | 3019 Green Meadow Dr, San Angelo, TX 76904-6975 | 2008-10-29 |
| 1265690374 | Jennifer Lynne Goldman Moss | Internal Medicine | 4500 E 9th Ave Ste 560s, Denver, CO 80220-3934 | 2008-05-26 |
| 1396947875 | Jennifer Leigh Moss | Acupuncturist | 3352b Sacramento St, Suite 200, San Francisco, CA 94118-1912 | 2007-06-05 |
| 1831696079 | Jennifer Ashley Moss | Anesthesiology | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2018-04-12 |
| 1356841316 | Jennifer Moss | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2018-02-16 |
| 1093244113 | Jennifer Ruth Moss | Psychologist | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2017-06-12 |
| Street Address |
735 WILSON ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074075 | Jennifer L Harvey | Physician Assistant | 735 Wilson St, Brewer, ME 04412 | 2005-06-21 |
| 1063067650 | Brooke Ann Morin | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412-1000 | 2019-08-09 |
| 1043878648 | Cameron Goller | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412-1000 | 2019-05-30 |
| 1700440104 | William J Bronson | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2019-05-01 |
| 1396204707 | Emily T. Thermos | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412-1000 | 2019-03-15 |
| 1073077053 | David Wade Iv | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2019-01-24 |
| 1548733090 | Ellen Taraschi | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412-1000 | 2019-01-08 |
| 1831680149 | Tiffany A. Albert | Counselor | 735 Wilson St, Brewer, ME 04412-1000 | 2018-05-22 |
| 1013404789 | Maegan L. Woodman | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412 | 2018-04-18 |
| 1891297255 | Christine Bell | Physician Assistant | 735 Wilson St, Brewer, ME 04412-1000 | 2018-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003257403 | Dustin Bernard Przybylski | Social Worker | 133 Union St, Brewer, ME 04412-2035 | 2013-07-13 |
| 1881971810 | Courtney P Mishou | Social Worker | 254 State St, Brewer, ME 04412-1519 | 2011-11-04 |
| 1700011566 | Bethany Brophy | Social Worker | 731 Wilson St, Brewer, ME 04412-1000 | 2009-05-22 |
| 1912168790 | Tracey Lee Minervino | Social Worker | 141 N Main St Ste 203, Brewer, ME 04412-2055 | 2008-06-24 |
| 1013124452 | Vauna Haza | Social Worker | 7 Holyoke St, Brewer, ME 04412-2608 | 2007-05-16 |
| 1073560819 | Laurie A Brophy | Social Worker | 46 Betton St, Suite 205, Brewer, ME 04412-2636 | 2006-05-27 |
| 1265432959 | James M Lapierre | Social Worker | 235 Center St, Brewer, ME 04412-1961 | 2005-07-26 |
| 1144828526 | Julie Reva Kominsky | Social Worker | 191 S Main St, Brewer, ME 04412-2233 | 2020-10-16 |
| 1023592714 | Jennifer Marie Holesha | Social Worker | 797 Wilson St, Brewer, ME 04412 | 2018-09-19 |
| 1538592787 | Daniel James Robbins | Social Worker | 235 Center St, Brewer, ME 04412-1961 | 2013-08-12 |
| Find all providers in BREWER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.