Evan Moriarty
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1164072955
StatusActive
Last updated in NPPESNov 15, 2025
Details
- NPI
- 1164072955
- Entity type
- Individual (NPI-1)
- Name
- Evan Moriarty
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Certification date
- Nov 15, 2025
- Last updated
- Nov 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 096948 | NY | Yes |
Practice location
242 W 30th St Rm 602New York, NY 10001-4954
Phone 978-766-9885
Mailing address
242 W 30th St Rm 602New York, NY 10001-4954
Phone 978-766-9885
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