National Provider Identifier

Jennifer L Moscato

Jennifer L Moscato is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1780723296Jamestown, NYClinical Social Worker

Profile Overview

NPI
1780723296
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 05, 2007
Last Updated
June 29, 2023

Practice Location

  • 200 E 3Rd St
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Mailing Address

  • 2 Academy St Rm 201
  • Mayville, NY 14757-1050

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1780723296
Entity Type
Individual
Last Name
Moscato
First Name
Jennifer
Middle Name
L
Provider Other Last Name
Wolfe
Provider Other First Name
Jennifer
Provider Other Middle Name
L
Provider Other Last Name Type Code
1
Mailing Street Address
2 Academy St Rm 201
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1050
Mailing Country
US
Mailing Phone
(716) 753-4104
Mailing Fax
(716) 753-4230
Practice Street Address
200 E 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Enumeration Date
February 05, 2007
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
June 29, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)