Lewis Don Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0003597 Issued in FL

Practice address

2699 Stirling Rd
Suite C403A
Davie, FL 33312-6517

Phone

(954) 894-8300

NPI assigned

May 14, 2007

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

Other identifiers 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205041951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 OAKLEAF DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301910",
            "telephone_number": "954-894-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C403A",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-894-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LEWIS",
        "middle_name": "DON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0003597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "SW0003597",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "Z5949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Montoya
• Erick Andres Monzon Mosquera
• Alexandria Moore
• Danielle P Moore, DC
• Joshua Warren Moore, MD
• Melanie Alexandra Moore, PT, DPT
• Jessica Mora Gonzalez
• Camila Mora
• Flora Mora
• Angie Morales

• Clinical Social Worker in Davie, FL
• Providers in Davie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.