Organization Active NPI

Moore Resolutions Group, LLC

  • Clinical Social Worker
  • Warner Robins, GA
National Provider Identifier
1033664222
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004960 Issued in GA
Legal business name
MOORE RESOLUTIONS GROUP, LLC
Practice address
109 Osigian Blvd Ste 300
Warner Robins, GA 31088-8924
Phone
(478) 333-2411
Fax
(478) 333-2173
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Monique R Delay-Moore, LCSWNPI 1467697524
Title
Therapist
Phone
(478) 333-2411

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW004960 GA Primary
Community/Behavioral Health Agency 251S00000X CSW004960 GA

Addresses

Primary practice location

109 Osigian Blvd Ste 300
Warner Robins, GA 31088-8924

Mailing address

PO Box 6619
Macon, GA 31208-6619
Phone (478) 333-2411

Other practice location 1

4116 Arkwright Rd Ste 1
Macon, GA 31210-1707
Phone (478) 216-5534

Other identifiers 1

IdentifierTypeStateIssuer
003140562MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806001247 GA Part B Supplier - Clinic/Group Practice 1052736121 Receives reassigned benefits from 2 practitioners
Practice locations: Warner Robins, GA; Macon, GA

National Provider Directory

National Provider Directory

Locations

4100 Riverside Dr
#97
Macon, GA 31210
Phone (317) 809-0512

4100 Riverside Dr
Ste 97
Macon, GA 31210
Phone (478) 216-5534

109 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 333-2430

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1033664222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6619",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312086619",
            "telephone_number": "478-333-2411",
            "fax_number": "478-333-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888924",
            "telephone_number": "478-333-2411",
            "fax_number": "478-333-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4116 Arkwright Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312101707",
            "country_code": "US",
            "telephone_number": "478-216-5534",
            "fax_number": "478-333-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOORE RESOLUTIONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "DELAY-MOORE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "478-333-2411",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004960",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW004960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140562",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.