Individual provider Active NPI

Courtney Sherrill Moody, LCSW, LCADC

  • Clinical Social Worker
  • Eagle River, AK
National Provider Identifier
1083764914
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
246208 Issued in AK
Practice address
10928 Eagle River Rd Ste 254
Eagle River, AK 99577-8080
Phone
(907) 355-2963
NPI assigned
Jan 11, 2007
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 168640 KY
Clinical Social Worker 1041C0700X 3374 KY
Clinical Social Worker 1041C0700X 246208 AK Primary

Addresses

Primary practice location

10928 Eagle River Rd Ste 254
Eagle River, AK 99577-8080

Mailing address

6972 Terry St
Anchorage, AK 99502-2751

Other practice location 1

2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Phone (833) 286-3734

Other practice location 2

6972 Terry St
Anchorage, AK 99502-2751
Phone (270) 875-0886

Other practice location 3

786 D St
Ft Richardson, AK 99505-1023
Phone (999) 999-9999

Other practice location 4

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (999) 999-9999

Other practice location 5

4400 Business Park Blvd
Anchorage, AK 99503-7171
Phone (999) 999-9999

Other practice location 6

11901 Business Blvd Ste 203
Eagle River, AK 99577-7701
Phone (907) 202-7166

Other identifiers 1

IdentifierTypeStateIssuer
7100364240MedicaidKY

Other names 1

  • Courtney Sherrill Lloyd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20260323001407 AK Practitioner - Clinical Social Worker 5890002661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

191 Antilla Dr
Rotonda West, FL 33947-3812

326 S Mount Auburn Rd
Cape Girardeau, MO 63703-4907

401 W International Airport Rd
Suite 17
Anchorage, AK 99518-1168

942 Lettuce Hall Rd
Spring Hope, NC 27882-8260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
168640KYMDAddiction (Substance Use Disorder) Counselor

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1083764914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6972 TERRY ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 254",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778080",
            "telephone_number": "907-355-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 Llewellyn Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Meade",
            "state": "MD",
            "postal_code": "207557081",
            "country_code": "US",
            "telephone_number": "833-286-3734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6972 Terry St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995022751",
            "country_code": "US",
            "telephone_number": "270-875-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 D St",
            "address_purpose": "LOCATION",
            "city": "Ft Richardson",
            "state": "AK",
            "postal_code": "995051023",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Joel Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235318",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Business Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995037171",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 Business Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777701",
            "country_code": "US",
            "telephone_number": "907-202-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "COURTNEY",
        "middle_name": "SHERRILL",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "168640",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3374",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "246208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100364240",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LLOYD",
            "middle_name": "SHERRILL",
            "credential": "LCSW, LCADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.