Individual provider Active NPI

Margaret V Moore, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1215096276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NM1-0004 Issued in NM
Practice address
2418 Miles Rd SE
Albuquerque, NM 87106-3224
Phone
(505) 247-8915
Fax
(505) 247-8942
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NM1-0004 NM Primary

Addresses

Primary practice location

2418 Miles Rd SE
Albuquerque, NM 87106-3224

Mailing address

2418 Miles Rd SE
Albuquerque, NM 87106-3224
Phone (505) 247-8915

Other identifiers 2

IdentifierTypeStateIssuer
95346MedicaidNM
21848OtherNMPRESBYTERIAN HP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000731 NM Practitioner - Clinical Social Worker 3072775865 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2418 Miles Rd SE
Albuquerque, NM 87106-3224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NM1-0004NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas H Bien LLC PastSince Mar 1, 2020 Accepting new patients
Counseling & Psychotherapy Services, LLC Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215096276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 MILES RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063224",
            "telephone_number": "505-247-8915",
            "fax_number": "505-247-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 MILES RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063224",
            "telephone_number": "505-247-8915",
            "fax_number": "505-247-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARGARET",
        "middle_name": "V",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "NM1-0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95346",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HP",
            "identifier": "21848",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.