Active NPI
Courtney Moore-Mercado, LGSW
- School Social Worker
- Washington, DC
National Provider Identifier
1043776586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LG50082716
- Practice address
- 429 P Street NW
Washington, DC 20002 - Phone
- (202) 328-9455
- NPI assigned
- Feb 20, 2019
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LG50082716 | DC | Primary |
Addresses
Primary practice location
429 P Street NW
Washington, DC 20002
Mailing address
8276 Imperial Dr
Laurel, MD 20708-1832
Phone (919) 812-1217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG50082716 | DC | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1043776586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8276 IMPERIAL DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207081832",
"telephone_number": "919-812-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 P STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"telephone_number": "202-328-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE-MERCADO",
"first_name": "COURTNEY",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": "LG50082716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.