Active NPI
Joyce Marie Moore, LCSW
- Social Worker
- Fort Benning, GA
National Provider Identifier
1114485828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW006382
- Practice address
- 6600 Van Aalst Boulevard
Martin Army Community Hospital
Fort Benning, GA 31905 - Phone
- (912) 977-9792
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW006382 | GA | Primary |
Addresses
Primary practice location
6600 Van Aalst Boulevard
Martin Army Community Hospital
Fort Benning, GA 31905
Mailing address
379 Riverside Dr
Jesup, GA 31545-5337
Phone (912) 977-9792
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 |
|---|---|---|---|
| CSW006382 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1114485828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 RIVERSIDE DR",
"city": "JESUP",
"state": "GA",
"postal_code": "315455337",
"telephone_number": "912-977-9792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BOULEVARD",
"address_2": "MARTIN ARMY COMMUNITY HOSPITAL",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "912-977-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOYCE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "CSW006382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.