Active NPI
Donna Lynn Moore, LLBSW
- Social Worker
- Taylor, MI
National Provider Identifier
1295071132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802086890
- Practice address
- 9409 W Pickwick Cir
Taylor, MI 48180-3860 - Phone
- (313) 854-8013
- NPI assigned
- Dec 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 6802086890 | MI | Primary |
Addresses
Primary practice location
9409 W Pickwick Cir
Taylor, MI 48180-3860
Mailing address
9409 West Pickwick Cicle
Taylor, MI 48180
Phone (313) 854-8013
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802086890 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1295071132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9409 WEST PICKWICK CICLE",
"city": "TAYLOR",
"state": "MI",
"postal_code": "48180",
"telephone_number": "313-854-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9409 W PICKWICK CIR",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803860",
"telephone_number": "313-854-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DONNA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LLBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802086890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.