Moss, Jane Radovich
Moss, Jane Radovich is an individual health care provider with primary practice located at 822 S Clearview Pkwy , Harahan LA 70123-3401. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Moss, Jane Radovich can be contacted via phone (504) 388-8635.Contact Information
Primary practice address
822 S Clearview Pkwy
Harahan LA 70123-3401
Phone: (504) 388-8635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 4135 | Louisiana |
Profile Details
| NPI number | 1386390995 |
|---|---|
| LBN Legal business name | Moss, Jane Radovich |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2022 |
| Last updated | Feb 23rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386390995 | NPPES |
| Louisiana | MEDICAID | 1701033 |
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