Silver Moon LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006405A Issued in IN

Legal business name

SILVER MOON LLC

Practice address

9801 Fall Creek Rd
#124
Indianapolis, IN 46256-4802

Phone

(317) 413-0119

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Elizabeth Farr, LCSW

Title

President

Phone

(317) 413-0119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Elizabeth Drucker, LCSW

  • Clinical Social Worker
  • Greenfield, IN
  • NPI 1669743894
  Medicare reassignment NPD

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1104197789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FALL CREEK RD",
            "address_2": "#124",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564802",
            "telephone_number": "317-413-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FALL CREEK RD",
            "address_2": "#124",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564802",
            "telephone_number": "317-413-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER MOON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-413-0119",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006405A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise M. Silva, MD EDM
• Joel Anthony Silva, DDS
• Rodessa Viera Ligutum Silva
• Silver Connections LLC
• Silver Lining Home Care Services LLC
• David C Silver, DO
• Jerome David Silver, MD
• Russell Silver Jr., LMHC, CRC
• Sabrina L Silver, D.O.
• Jonathan Philip Silverberg, MD

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.