Active NPI
Kiara Moore
- Social Worker
- New York, NY
National Provider Identifier
1144413774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094694
- Practice address
- 1255 Amsterdam Ave
New York, NY 10027-5927 - Phone
- (626) 403-4370
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 28618 | CA | |
| Social Worker | 104100000X | 094694 | NY | Primary |
Addresses
Primary practice location
1255 Amsterdam Ave
New York, NY 10027-5927
Mailing address
1255 Amsterdam Ave
New York, NY 10027-5927
Phone (626) 403-4370
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 |
|---|---|---|---|
| 094694 | NY | MD | Social Worker |
| LCS 28618 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1144413774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275927",
"telephone_number": "626-403-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275927",
"telephone_number": "626-403-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KIARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 28618",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.