National Provider Identifier

Heidi Lynn Moesch

Heidi Lynn Moesch is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 216-6833.

NPI 1821842550Ithaca, NYSocial Worker

Profile Overview

NPI
1821842550
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 17, 2024
Last Updated
April 17, 2024

Practice Location

  • 313 3Rd St
  • Ithaca, NY 14850-3458

Phone: (607) 216-6833

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1821842550
Entity Type
Individual
Last Name
Moesch
First Name
Heidi
Middle Name
Lynn
Mailing Street Address
313 3Rd St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3458
Mailing Country
US
Mailing Phone
(607) 216-6833
Practice Street Address
313 3Rd St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3458
Practice Country
US
Practice Phone
(607) 216-6833
Enumeration Date
April 17, 2024
Last Updated
April 17, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)