KENNETH MOSKOWITZ (LCSW) – Clinical Social Worker, NPI 1184647562

KENNETH MOSKOWITZ (LCSW) is a healthcare provider. based in Henderson, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW2796 (FL). The NPI Number for KENNETH MOSKOWITZ (LCSW) is 1184647562

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH MOSKOWITZ (LCSW)
NPI
1184647562
Phone
(954) 907-0383
Address
2408 RUE BIENVILLE WAY
Enumeration Date
26 July 2006
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
7027320304
Graduation Year
1984 (42 years ago)
PAC ID
6204897077
Group Practice PAC ID
1456320142
Professional Enrollment ID
I20240625000896
Address ID
NV891461290LA5851XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

557 CLINICAL SOCIAL WORKER in NV

Provider Addresses for KENNETH MOSKOWITZ (LCSW)

  • 2408 RUE BIENVILLE WAY

    HENDERSON, NV 89044

    Phone: (954) 907-0383

    Type: Mailing

  • 5851 W CHARLESTON BLVD

    LAS VEGAS, NV 89146

    Phone: (702) 732-0304

    Fax: (702) 794-2033

    Type: Location

  • CamLabPrints.com, 100, South Pine Island Road, Plantation, Broward County, Florida, 33324, United States

    STE 230

    PLANTATION, FL 333242613

    Phone: (954) 370-2140

    Fax: (954) 916-1252

    Type: Location

  • 366, Northwest 107th Avenue, Coral Springs, Broward County, Florida, 33071, United States

    CORAL SPRINGS, FL 330717921

    Phone: (954) 907-6114

    Type: Mailing

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: 2024-06-25

PECOS data refreshed: 2026-06-15

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
I20240625000896IClinical Social WorkerNVTBD

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 89044)

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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: 1456320142View full group profile
NameSpecialtyState
Mental Health CounselorNV

Reviews

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Frequently asked questions

Is KENNETH MOSKOWITZ (LCSW) listed with a National Provider Identifier?
Yes — KENNETH MOSKOWITZ (LCSW) has NPI 1184647562 on file in the registry.
Active or inactive — what applies to KENNETH MOSKOWITZ (LCSW)?
You should see KENNETH MOSKOWITZ (LCSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for KENNETH MOSKOWITZ (LCSW)?
At a glance, KENNETH MOSKOWITZ (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Nevada is KENNETH MOSKOWITZ (LCSW) registered?
Use Henderson, Nevada as the headline location for KENNETH MOSKOWITZ (LCSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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