Ellen Kay Moore, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CSW001307 Issued in GA

Practice address

4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210

Phone

(770) 677-9315

Fax

(770) 677-9400

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jewish Family & Career Services, Inc

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1134287501
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336228600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386210",
            "telephone_number": "770-677-9315",
            "fax_number": "770-677-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386210",
            "telephone_number": "770-677-9315",
            "fax_number": "770-677-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELLEN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "CSW001307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Moore
• Dayna Moore, D.C
• Debra Moore, PT
• Diahann Meekins Moore, MD
• Djimon Moore
• Erica Latrice Moore, CRNA
• Eyona Moore
• Gerald Dwayne Moore II
• Gregory Robert Moore, MD
• Ignacita Moore

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.