Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine C Moosally, LISW-S

Individual provider Clinical Social Worker · NPI 1316480866

Katherine C Moosally, LISW-S is a Clinical Social Worker in Youngstown, Ohio. Qualified in 2012, 14 years ago. Practices with Rajendra P Koirala, MD, LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

725 Boardman Canfield Rd
Youngstown, OH 44512-4380
Phone: (330) 330-8655
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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 I.1500442-SUPV (OH)

Record details

NPI number1316480866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedNovember 30, 2016
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Rajendra P Koirala, M.D., Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Youngstown