Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ej Moss, LMSW-CC

Individual provider Clinical Social Worker · NPI 1548969512

Nicole Ej Moss, LMSW-CC is a Clinical Social Worker in Portland, Maine. Qualified in 2021, 5 years ago. Practices with Spurwink Services Incorporated, a 84-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2023
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Practice location Address checks out

901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone: (207) 871-1200
Fax: (207) 871-1232
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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 MC20776 (ME)

Record details

NPI number1548969512
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW-CC
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Spurwink Services Incorporated — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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