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

Jonathan Marcel Moses

Individual provider Clinical Social Worker · NPI 1891353199

Jonathan Marcel Moses is a Clinical Social Worker in Rigby, Idaho. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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Practice location Address checks out

295 N 3855 E
Rigby, ID 83442-5124
Phone: (208) 745-5205
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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 LCSW-42172 (ID)

Record details

NPI number1891353199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022
Mailing address2275 W Broadway St, Idaho Falls, ID 83402-2902

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rigby