Jennifer Moore, LCSW Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER MOORE, LCSW COUNSELING SERVICES

Practice address

9 Field St
Kane, PA 16735-1322

Phone

(814) 561-1028

NPI assigned

Aug 3, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Moore, LCSWNPI 1700320322

Title

Owner/ LCSW

Phone

(814) 561-1028

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Moore, LCSW

  • Clinical Social Worker
  • Kane, PA
  • NPI 1700320322
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1326712431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FIELD ST",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351322",
            "telephone_number": "814-558-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FIELD ST",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351322",
            "telephone_number": "814-561-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MOORE, LCSW COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ LCSW",
        "authorized_official_telephone_number": "814-561-1028",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hosack
• Blake A Housler, OD
• Christian J Howard, OD
• Miranda Lee Hoyt, COTA/L
• Jamil Sarfraz, MD
• Kimberly Ann Johnson, M.D.
• Tonia Lynn Johnson, PTA
• Kane Anesthesia Professional Services
• Kane Anesthesiology Professional Services Inc
• Kane Area School District

• Clinical Social Worker in Kane, PA
• Providers in Kane, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.