Amiya Moore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020527 Issued in NC

Practice address

1905 J N Pease PL Ste 103
Charlotte, NC 28262-4509

Phone

(704) 910-0136

NPI assigned

Oct 11, 2025

Last updated

Oct 11, 2025By the provider in NPPES

Sex

Female

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": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1215803929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 FRONT PORCH AVE APT 31103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278332",
            "telephone_number": "980-621-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 J N PEASE PL STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624509",
            "telephone_number": "704-910-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Optometry, PLLC
• Jasmine Joanne Moore-Clark, LCSW
• Chelandra Shawnte Moore-Quarles, LPC
• Alexis Dolor Moore, PHD
• Amanda Michelle Moore
• Amy Vischetti Moore, PA-C
• Angela Moore, M.ED, BCBA
• Arl Van Moore Jr., M.D.
• Barrett G Moore, D.D.S., PA
• Brenden Moore, DO

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.