Carolynn A Moore, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016851 Issued in NC

Practice address

4008 Poors Ford Rd
Rutherfordton, NC 28139-8488

Phone

(315) 276-5773

NPI assigned

Sep 1, 2020

Last updated

Feb 10, 2024By 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 NC

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1447376306
  Medicare reassignment NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1124445465
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD
• Charlotte Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matthews, NC
  • NPI 1609390046
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1316551096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 POORS FORD RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398488",
            "telephone_number": "315-276-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 POORS FORD RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398488",
            "telephone_number": "315-276-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLYNN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-02-10",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Medical Associates Inc (Mma Outpatient Neurology)
• Mission Medical Associates Inc (Mission Children's - Rutherford)
• Jamshid Mohebali
• Monarch
• Allison Jill-Hutchins Moore
• Cecil Brian Moore, DDS
• William Samuel Moore Jr., RPH
• Franklin James Mooring, MD
• More to Life Counseling PLLC
• Keona Moneeke Morris

• Clinical Social Worker in Rutherfordton, NC
• Providers in Rutherfordton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.