Sean Michael Moller, LCSW
Social Worker, Clinical in Berkeley, CA. Individual provider (NPI-1).
NPI number1508063025
StatusActive
Last updated in NPPESJun 10, 2009
Details
- NPI
- 1508063025
- Entity type
- Individual (NPI-1)
- Name
- Sean Michael Moller
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2007
- Last updated
- Jun 10, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | 25579 | CA | Yes |
Practice location
2640 Martin Luther King Jr WayBerkeley, CA 94704-3238
Phone 510-981-5290
Mailing address
2640 Martin Luther King Jr WayBerkeley, CA 94704-3238
Phone 510-981-5290
Is something wrong?
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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