Individual provider Active NPI

Moira Anderson

  • Clinical Social Worker
  • Ocean Springs, MS
National Provider Identifier
1003559691
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C9540 Issued in MS
Practice address
3670 Groveland Rd Ste a
Ocean Springs, MS 39564-5754
Phone
(228) 365-3191
NPI assigned
Apr 20, 2022
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C9540 MS Primary

Addresses

Primary practice location

3670 Groveland Rd Ste a
Ocean Springs, MS 39564-5754

Mailing address

3670 Groveland Rd Ste a
Ocean Springs, MS 39564-5754
Phone (228) 365-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326001683 MS Practitioner - Clinical Social Worker 9537644786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3670 Groveland Rd
Suite a
Ocean Springs, MS 39564-5754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9540MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maitri Mental Health Clinical CurrentSince Feb 15, 2026 Accepting new patients
River Rock Yoga LLC Clinical CurrentSince Jun 23, 2025 Accepting new patients
Gulf Coast Family Counseling Agency Clinical PastSince Apr 1, 2022 Accepting new patients

Locations

3670 Groveland Rd
Ste A
Ocean Springs, MS 39564
Phone (228) 365-3191

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1003559691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 GROVELAND RD STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645754",
            "telephone_number": "228-365-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 GROVELAND RD STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645754",
            "telephone_number": "228-365-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MOIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.