National Provider Identifier

Tomara Nicole Moxley, LMSW

Tomara Nicole Moxley, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 760-1032.

NPI 1225687833Rochester, NYSchool Social Worker

Profile Overview

NPI
1225687833
Provider Type
Individual
Primary Specialty
School Social Worker
Enumeration Date
September 06, 2019
Last Updated
September 06, 2019

Practice Location

  • 4115 Lake Ave
  • Rochester, NY 14612-4813

Phone: (585) 760-1032

Mailing Address

  • 31 Raeburn Ave
  • Rochester, NY 14619-1613

Specialties

  • School Social Worker (1041S0200X)
Full Record
NPI
1225687833
Entity Type
Individual
Last Name
Moxley
First Name
Tomara
Middle Name
Nicole
Credential
LMSW
Mailing Street Address
31 Raeburn Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1613
Mailing Country
US
Mailing Phone
(585) 456-5879
Practice Street Address
4115 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-4813
Practice Country
US
Practice Phone
(585) 760-1032
Enumeration Date
September 06, 2019
Last Updated
September 06, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Social Worker (1041S0200X)