NPIMap

Organization Active NPI

Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1013615079
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER C MOORE MSW LCSW INC
Practice address
8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Phone
(702) 240-8639
NPI assigned
Feb 20, 2023
Organization subpart
Yes
Parent organization
JENNIFER C MOORE MSW LCSW INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Jennifer C Moore, LCSWNPI 1407977523
Title
Owner/Ceo
Phone
(702) 240-8639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138

Mailing address

PO Box 370763
Las Vegas, NV 89137-0763
Phone (702) 240-8639

Other names 1

  • Foundations Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jennifer C Moore MSW LCSW Inc4 organizations share this tax ID, including this one
Part of
Jennifer C Moore MSW LCSW Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

660 S Green Valley Pkwy
Ste 140150
Henderson, NV 89052
Phone (702) 240-8639

8950 W Tropicana Ave
Ste 1
Las Vegas, NV 89147
Phone (702) 240-8639

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1013615079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370763",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370763",
            "telephone_number": "702-240-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W TROPICANA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478138",
            "telephone_number": "702-240-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C MOORE MSW LCSW INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIFER C MOORE MSW LCSW INC",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "702-240-8639",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.