Constance B Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5321 Issued in FL

Practice address

2365 Centerville Rd Ste 11
Tallahassee, FL 32308-4317

Phone

(850) 425-5025

Fax

(850) 425-5026

NPI assigned

Apr 20, 2007

Last updated

Dec 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psych on Site of Florida, Inc.

  • Clinical Social Worker
  • Houston, TX
  • NPI 1669720504
  NPD

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1063630622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 HUNTER WOODS LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323119004",
            "telephone_number": "850-524-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CENTERVILLE RD STE 11",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084317",
            "telephone_number": "850-425-5025",
            "fax_number": "850-425-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6143 Hunter Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323119004",
            "country_code": "US",
            "telephone_number": "850-524-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CONSTANCE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Christine Mooney, MS RDN
• Moor Transportation LLC
• Chante Moore, BA
• Charles E Moore, M.D.
• Charlsie Moore
• Donna H Moore, ARNP
• Freddie Lee Moore Jr.
• Jamaica De'Corey Moore, RN
• Kamia Moore
• Latasha D Moore, M.D.

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.