Provider Demographics
NPI:1558130021
Name:BELL-MOSS, KATHRYN LEE (LISW)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LEE
Last Name:BELL-MOSS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 HYANNIS DR
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5807
Mailing Address - Country:US
Mailing Address - Phone:440-317-2165
Mailing Address - Fax:
Practice Address - Street 1:7250 HYANNIS DR
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-5807
Practice Address - Country:US
Practice Address - Phone:440-317-2165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00083671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical