Active NPI
Angela Maria Moore, MA,LSW
- Social Worker
- Bowling Green, OH
National Provider Identifier
1306024898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S00024283
- Practice address
- 1010 N Prospect St
Bowling Green, OH 43402-1335 - Phone
- (419) 352-5387
- NPI assigned
- Feb 6, 2008
- 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 | S00024283 | OH | Primary |
Addresses
Primary practice location
1010 N Prospect St
Bowling Green, OH 43402-1335
Mailing address
P.O. Box 29
Bowling Green, OH 43402
Phone (419) 352-5387
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S00024283 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1306024898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 29",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "43402",
"telephone_number": "419-352-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N PROSPECT ST",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434021335",
"telephone_number": "419-352-5387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANGELA",
"middle_name": "MARIA",
"credential": "MA,LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S00024283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.