Provider Demographics
NPI:1326392200
Name:MOSER, DARYA BARSHAY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DARYA
Middle Name:BARSHAY
Last Name:MOSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 METROPOLITAN AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2635
Mailing Address - Country:US
Mailing Address - Phone:646-373-4785
Mailing Address - Fax:
Practice Address - Street 1:7306 METROPOLITAN AVE FL 2
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2635
Practice Address - Country:US
Practice Address - Phone:646-373-4785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72 0839491041C0700X
NY0861411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY086141OtherLCSW
NY72 083949OtherLMSW