Look up the most recent NPI and PECOS records

Sebastian Moad

Social Worker

Behavioral Health & Social Service Providers

4055 Spencer St Ste 118, Las Vegas, NV 89119-5250

PECOS Enrollment

Based on the most recent information from CMS, provider Sebastian Moad is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1386259745
Provider Type
Individual
Full Name
Moad, Sebastian
Credential
LSW

Gender
Male
Sole Proprietor
No
Enumeration Date
9/12/2020
Last Updated
2/1/2024

Contact Information

Practice Location

4055 Spencer St Ste 118, Las Vegas, NV 89119-5250

(702) 799-9710

Unlisted Fax

Mailing Location

190 E Bannock St, Boise, ID 83712-6241

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW-43908 Idaho
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License IC-1615 Nevada

Sebastian Moad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Von Diagnostic And Counseling,Llc

Nirvana Counseling (Kanoza), Pllc

Choi, Rebecca

Perez-Kahl, Veronica

Cote, Laura

Pierce, Jessica Marie

Diaz Echevarria, Leydi

Prouty, Rachel Elizabeth

Paz, Jacqueline Caridad

Castelo, Mario Adan