Individual provider Active NPI

Alison Moore, L.C.S.W.

  • Clinical Social Worker
  • Sun City Center, FL
National Provider Identifier
1073934253
Registry record updated Dec 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 3943 Issued in FL
Practice address
4020 Sun City Center Blvd
Suite 11
Sun City Center, FL 33573-5285
Phone
(813) 634-4700
NPI assigned
Dec 14, 2013
Last updated
Dec 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2013

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 SW 3943 FL Primary

Addresses

Primary practice location

4020 Sun City Center Blvd
Suite 11
Sun City Center, FL 33573-5285

Mailing address

970 Blankenship Rd
Dover, FL 33527-6800
Phone (813) 215-0209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140327001565 FL Practitioner - Clinical Social Worker 1254562614 Practice locations: Lakeland, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1867 N Crystal Lake Dr
Atala Counseling
Lakeland, FL 33801-5955
Phone 86345036262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 3943FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper 1692 LLC Clinical CurrentSince Aug 11, 2024 Accepting new patients
Atala Counseling, PLLC Clinical PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1386979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386979200000",
    "number": "1073934253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 BLANKENSHIP RD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335276800",
            "telephone_number": "813-215-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 SUN CITY CENTER BLVD",
            "address_2": "SUITE 11",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735285",
            "telephone_number": "813-634-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-14",
        "last_updated": "2013-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 3943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.