Active NPI
Christina Moore, CSW
- Clinical Social Worker
- Elizabethtown, KY
National Provider Identifier
1225817646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 257821
- Practice address
- 204 N Main St
Elizabethtown, KY 42701-1417 - Phone
- (270) 360-1222
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 257821 | KY | Primary |
Addresses
Primary practice location
204 N Main St
Elizabethtown, KY 42701-1417
Mailing address
102 Penn Crossing LN Apt B
Elizabethtown, KY 42701-1777
Phone (270) 723-4118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 257821 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1225817646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PENN CROSSING LN APT B",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011777",
"telephone_number": "270-723-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N MAIN ST",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011417",
"telephone_number": "270-360-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHRISTINA",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "257821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.