Sonya Susan Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011146 Issued in VA

Practice address

1015 Eden Way N Ste B
Chesapeake, VA 23320-2787

Phone

(757) 609-2726

Fax

(757) 609-2874

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1164078127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FAIRWAY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233209439",
            "telephone_number": "860-287-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 EDEN WAY N STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202787",
            "telephone_number": "757-609-2726",
            "fax_number": "757-609-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SONYA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538503750",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Zoey Moore, MS R.D.N.
• Glen L Moore, M.D.
• Jordon K Moore, PT, DPT
• Karen Moore, FNP
• Meredith Ann Martin Moore, ED.S.
• Irene Therese Moorecooper
• Lawrence Raymond Morales, MD
• Morano Rehab and Staffing Co.
• More Than Words LLC
• More to the Story LLC

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.