Active NPI
Thelma Moore, LCSW
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006639A
- Practice address
- 355 W. 16TH St.
Ste. 3200
Indianapolis, IN 46202-2207 - Phone
- (317) 963-7407
- Fax
- (317) 963-7533
- NPI assigned
- Jan 2, 2013
- Last updated
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006639A | IN | Primary |
Addresses
Primary practice location
355 W. 16TH St.
Ste. 3200
Indianapolis, IN 46202-2207
Mailing address
250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-0954
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmoore8303@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006639A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Indiana Clinic-Neurology, LLC | Past | Accepting new patients |
Locations
1650 N College Ave
Ste B
Indianapolis, IN 46202
Phone (317) 880-0888
1700 N Illinois St
Indianapolis, IN 46202
Phone (317) 554-5700
2505 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 554-5200
2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
3171 N Meridian St
Indianapolis, IN 46208
Phone (317) 941-5003
3840 N Sherman Dr
Indianapolis, IN 46226
Phone (317) 541-3400
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224
Phone (317) 244-2792
6940 Michigan Rd
Ste 140
Indianapolis, IN 46268
Phone (317) 266-2901
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100
Interoperability endpoints
- tmoore8303@direct.eskenazihealth.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eskenazi Health
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Neurology Physician
- Indianapolis, IN
- NPI 1578792271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1003152596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-963-0954",
"fax_number": "317-962-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W. 16TH ST.",
"address_2": "STE. 3200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022207",
"telephone_number": "317-963-7407",
"fax_number": "317-963-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "THELMA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006639A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmoore8303@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.