Individual provider Active NPI

Lewis Preston Moore, LCSW

  • Clinical Social Worker
  • Absecon, NJ
National Provider Identifier
1316096829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04529500 Issued in NJ
Practice address
707 White Horse Pike
Suite A3
Absecon, NJ 08201-1458
Phone
(609) 383-3330
Fax
(609) 383-3301
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04529500 NJ Primary

Addresses

Primary practice location

707 White Horse Pike
Suite A3
Absecon, NJ 08201-1458

Mailing address

707 White Horse Pike
Suite A3
Absecon, NJ 08201-1458
Phone (609) 383-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000112 NJ Practitioner - Clinical Social Worker 5597702969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rita R Kammiel MDGroup PAC ID 1456368489, 4 clinicians

Practice addresses (Care Compare)

707 White Horse Pke
Suite A3
Absecon, NJ 08201-1459
Phone (609) 383-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rita R Kammiel MD CurrentSince Feb 15, 2002 Accepting new patients
Family Service Association Past Accepting new patients
Family Service Association Past Accepting new patients

Locations

707 White Horse Pike
Ste A3
Absecon, NJ 08201
Phone (609) 383-3330

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316096829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE PIKE",
            "address_2": "SUITE A3",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011458",
            "telephone_number": "609-383-3330",
            "fax_number": "609-383-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE PIKE",
            "address_2": "SUITE A3",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011458",
            "telephone_number": "609-383-3330",
            "fax_number": "609-383-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LEWIS",
        "middle_name": "PRESTON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04529500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Absecon, NJ

Sources for this page

Verify at the official NPI Registry.