David B Moore, PHD, PSC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DAVID B MOORE, PHD, PSC

Practice address

3400 Stony Spring Circle
Louisville, KY 40220-5428

Phone

(502) 819-8300

Fax

(502) 499-4431

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Bruce Moore, PHD, LCSWNPI 1760585798

Title

President

Phone

(502) 819-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moore & Associates Former legal business name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Bruce Moore, PHD, LCSW,BCD, BCN

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1760585798
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1265535231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205428",
            "telephone_number": "502-819-8300",
            "fax_number": "502-499-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 STONY SPRING CIRCLE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205428",
            "telephone_number": "502-819-8300",
            "fax_number": "502-499-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B MOORE, PHD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-819-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8290014300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Arthur Steven Daus, M.D.
• Svarit Dave, MD
• Eric A Davenport, RD
• Maurice Davenport Jr.
• David a Schulte, DMD, PSC
• David Geller, MD, PLLC
• David H Neustadt PSC
• Ana Kristina David Kubek, D.D.S.
• David P Rouben MD PSC
• David P. Moore, M.D., PLLC

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.