Suzanne Lynn Moxham, LCSW
Social Worker, Clinical in East Amherst, NY. Individual provider (NPI-1).
NPI number1104967652
StatusActive
Last updated in NPPESMar 20, 2013
Details
- NPI
- 1104967652
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Lynn Moxham
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2007
- Last updated
- Mar 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 079054 | NY | Yes |
| 104100000X | Social Worker | 074271-7 | NY |
Practice location
6495 Transit Rd.Suite 800
East Amherst, NY 14051
Phone 716-418-8531 · Fax 716-418-8514
Mailing address
3020 Bailey Ave - 2nd FloorBuffalo, NY 14215
Phone 716-831-1800 · Fax 716-842-1277
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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