KATHERINE MOELLER (LICSW) – Clinical Social Worker, NPI 1427414721

KATHERINE MOELLER (LICSW) is a healthcare provider. based in Brunswick, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 127438 (MA). The NPI Number for KATHERINE MOELLER (LICSW) is 1427414721

Main info

Female
16 Years Of Experience
Name
KATHERINE MOELLER (LICSW)
NPI
1427414721
Phone
(718) 552-5200
Address
54 CUMBERLAND ST STE 4
Enumeration Date
4 January 2016
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178696836
Graduation Year
2010 (16 years ago)
PAC ID
5092010033
Group Practice PAC ID
7517372576
Professional Enrollment ID
I20240509000152
Address ID
MA010623158FL10XXXSTXX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,103 CLINICAL SOCIAL WORKER in ME

Provider Addresses for KATHERINE MOELLER (LICSW)

  • 54 CUMBERLAND ST STE 4

    BRUNSWICK, ME 040111829

    Phone: (718) 552-5200

    Type: Mailing

  • PO BOX 60538

    FLORENCE, MA 010620538

    Phone: (413) 341-9400

    Type: Mailing

  • 10 MAIN ST

    FLORENCE, MA 010623160

    Phone: (413) 341-9400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240509000152IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517372576View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Emergency MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is KATHERINE MOELLER (LICSW)'s NPI number?
KATHERINE MOELLER (LICSW)'s NPI is 1427414721 — the number used across U.S. healthcare to identify this provider.
Is KATHERINE MOELLER (LICSW) shown as active in public data?
Registry records indicate KATHERINE MOELLER (LICSW) maintains an active NPI.
What kind of doctor is KATHERINE MOELLER (LICSW)?
KATHERINE MOELLER (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHERINE MOELLER (LICSW)?
Travel planning: use Brunswick, Maine as the reference point for KATHERINE MOELLER (LICSW), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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