Mary Moore, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20339 Issued in MD

Practice address

PO Box 1712
Edgewater, MD 21037-7712

Phone

(410) 999-9999

Fax

(443) 782-3497

NPI assigned

Jul 6, 2011

Last updated

May 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mary Moore LCSW-C LLC

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1366730103
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1316234750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210377712",
            "fax_number": "443-782-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210377712",
            "telephone_number": "410-999-9999",
            "fax_number": "443-782-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Michelle Miller, DPT, PT
• Mini Bhaskar MD LLC
• Minuteclinic LLC
• Holly Ann Mohr, MSRN PNP
• Caroline Batchelor Moore, PSYD
• Francis Alexander Morgan, DDS
• Marybeth Grannis Moskovitz, CNM, PMHNP-BC
• Karalyn Mulligan, LCPC
• Timothy John Mulvihill Jr., A.T.,C.
• Rachel Mackenzie Munley, M.S., CF-SLP

• Clinical Social Worker in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.