Individual
MS. SHARON L MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
175 WYOK RD, JOHNSON CITY, NY 13790-4223
(607) 754-7117
Mailing address
14 LEROY ST, BINGHAMTON, NY 13905-4603
(607) 722-1918
(607) 724-3865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R042064
NY
1041S0200X
School Social Worker
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53311B
—
NY
Enumeration date
04/25/2007
Last updated
09/11/2025
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