Individual
SANDRA MOSCOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
363 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-3302
(270) 268-2228
Mailing address
1115 WOODDALE RD, BRANDENBURG, KY 40108-1133
(502) 434-8376
(502) 473-1070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
KY
171W00000X
Contractor
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111111
MENTAL HEALTH
KY
Enumeration date
08/17/2017
Last updated
05/21/2026
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