Individual provider Active NPI

Pamela Rene' Moore-Jones, LCSW

  • Clinical Social Worker
  • Hemet, CA
National Provider Identifier
1164657276
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25462 Issued in CA
Practice address
1600 E Florida Ave Ste 209
Hemet, CA 92544-8648
Phone
(951) 249-4500
Fax
(951) 658-1253
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25462 CA Primary

Addresses

Primary practice location

1600 E Florida Ave Ste 209
Hemet, CA 92544-8648

Mailing address

40 Bay Shore Ave Apt 6
Long Beach, CA 90803-3498
Phone (951) 249-4501

Other names 1

  • Pamela Rene' Moore Former name

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

LicenseStateTypeSpecialty
LCS25462CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1164657276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAY SHORE AVE APT 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033498",
            "telephone_number": "951-249-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE STE 209",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448648",
            "telephone_number": "951-249-4500",
            "fax_number": "951-658-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-JONES",
        "first_name": "PAMELA",
        "middle_name": "RENE'",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MOORE",
            "middle_name": "RENE'",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.