Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jean L Moffatt, LCSWR

Individual provider Clinical Social Worker · NPI 1487646303

Jean L Moffatt, LCSWR is a Clinical Social Worker in Kingston, New York. Qualified in 2002, 24 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

124 Green St
Kingston, NY 12401-4422
Phone: (845) 331-3001
Fax: (845) 335-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R074300-1 (NY)

Record details

NPI number1487646303
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorYes
NPI enumeratedAugust 17, 2005
Last updated in NPPESSeptember 25, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kingston