Kyle Moore, LCSW, LCAS, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016406 Issued in NC

Practice address

5140 Dunstan Rd
Greensboro, NC 27405-9565

Phone

(336) 553-6635

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1265251631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 DUNSTAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059565",
            "telephone_number": "336-553-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 DUNSTAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059565",
            "telephone_number": "336-553-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KYLE",
        "credential": "LCSW, LCAS, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmyn Lynn Moore
• Jodi Lynn Moore, OTD, OTR/L, CHT
• Joseph Gray Moore, ATC, EMT-I
• Kalie Moore, MA, LCMHC
• Kendall S Moore
• Lauren Gray Moore, CCC-SLP
• Linda E. Moore, CRNA
• Michael Albrecht Moore, M.D.
• Michaelene Ann Moore, RN, ANP-C, CNS-C
• Miracle Moore

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 3, 2024; 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.