Dajavon Jarrie Moore-Adu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW009136 Issued in GA

Practice address

11080 Old Roswell Rd
Alpharetta, GA 30009-4757

Phone

(678) 369-3736

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Holistic Coalition, LLC

  • Marriage & Family Therapist
  • Alpharetta, GA
  • NPI 1487154498

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1225511587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98405",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303592105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 OLD ROSWELL RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094757",
            "telephone_number": "678-369-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-ADU",
        "first_name": "DAJAVON",
        "middle_name": "JARRIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009136",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW007695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina M Montes, MD
• Robert Montes, PH.D.
• Stephanie G Montwid, LPC
• Carlyne Mary Moody, LMSW
• Jennifer Moon, OD
• Breanna Kaitlynn Moore
• Harmony BJ Moore
• John Gammon Moore, M.D.
• Joseph Moore
• Kevin Moore, L.P.C., C.A.C.

• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.