John Micheal Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R042827-1 Issued in NY

Practice address

15 Bayview Ave
East Islip, NY 11730-2401

Phone

(631) 581-2542

NPI assigned

Aug 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1154635076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BAYVIEW AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302401",
            "telephone_number": "631-581-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BAYVIEW AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302401",
            "telephone_number": "631-581-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "MICHEAL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042827-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Minogue, MAED.
• Mireille Constant, MD, PC
• Lauren Grace Moccaldi
• Faeza Mohi, PHARMD
• Christine Ann Molinari, LMHC
• Roger Paul Mott, L.C.S.W., CASAC
• Alixandra Taite Mulry, RN, BSN
• Stephanie J Murphy Johnson
• Maria Lisa Musacchio, CCC-SLP
• Emily Nadler, MA,LSP,C.C.C.,TSHH

• Clinical Social Worker in East Islip, NY
• Providers in East Islip, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.