Active NPI
Aaron Bernard Moore, BSW,MFT, LMSW
- Social Worker
- Columbia, SC
National Provider Identifier
1265747745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10966
- Practice address
- 112 Algrave Way
Columbia, SC 29229-8117 - Phone
- (843) 437-3386
- NPI assigned
- Aug 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | 10966 | SC | |
| Social Worker | 104100000X | 10966 | SC | Primary |
Addresses
Primary practice location
112 Algrave Way
Columbia, SC 29229-8117
Mailing address
112 Algrave Way
Columbia, SC 29229-8117
Phone (843) 437-3386
Other names 1
- Mr. Aaron Bernard Moore
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10966 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1265747745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ALGRAVE WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298117",
"telephone_number": "843-437-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ALGRAVE WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298117",
"telephone_number": "843-437-3386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "AARON",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "BSW,MFT, LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-09",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "SC",
"license": "10966",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "10966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AARON",
"last_name": "MOORE",
"middle_name": "BERNARD",
"prefix": "MR.",
"credential": "BSW MFT LMSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.