Doris Ann Moore-Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004369 Issued in NC

Practice address

111 Lamon St
Suite 212
Fayetteville, NC 28301-4957

Phone

(910) 429-2222

Fax

(910) 429-2222

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Clinical Services Associates, LLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1134320427
  NPD (past) Authorized official
• New View Behavioral Health Services PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1942778691
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255321592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 KING HIRAM RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489767",
            "telephone_number": "910-429-0543",
            "fax_number": "910-429-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAMON ST",
            "address_2": "SUITE 212",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014957",
            "telephone_number": "910-429-2222",
            "fax_number": "910-429-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-RUSSELL",
        "first_name": "DORIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "365036",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002914",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NORTH CAROLINA",
            "identifier": "136AJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "522556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Lynn Montgomery, RCP, RRT
• Brody Daniel Montoya, DO
• Megan Nikole Mooney
• Michele A. Mooney, BCBA
• Moore Street Pulmonary Clinic, PLLC
• Alicia Shereese Moore, LCAS-A
• Angela Ellen Moore, LCMHCS
• Angelica Dena Moore
• Ashli Moore
• Ashona Moore

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Jul 13, 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.

Verify at the official NPI Registry.