Active NPI
Kayla Moore
- Social Worker
- Chestertown, MD
National Provider Identifier
1285495119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29213
- Practice address
- 300 Scheeler Rd
Chestertown, MD 21620-1014 - Phone
- (410) 778-5783
- NPI assigned
- Jan 18, 2024
- Last updated
- Jul 10, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 29213 | MD | Primary |
Addresses
Primary practice location
300 Scheeler Rd
Chestertown, MD 21620-1014
Mailing address
327 Arctic LN
Smyrna, DE 19977-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Scheeler Rd
Chestertown, MD 21620-1014
327 Arctic LN
Smyrna, DE 19977-4113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29213 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1285495119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 ARCTIC LN",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199774113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SCHEELER RD",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201014",
"telephone_number": "410-778-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.