Valencia Moore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802087266 Issued in MI

Practice address

500 Barfield Dr
Hastings, MI 49058-9018

Phone

(269) 948-8041

Fax

(269) 948-9319

NPI assigned

Oct 9, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1346750940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MICHIGAN AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173602",
            "telephone_number": "269-966-1460",
            "fax_number": "269-966-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BARFIELD DR",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589018",
            "telephone_number": "269-948-8041",
            "fax_number": "269-948-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Michigan Ave W",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173602",
            "country_code": "US",
            "telephone_number": "269-966-1460",
            "fax_number": "269-966-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VALENCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802087266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6802087266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Milne
• Mindset 2.0 P.L.L.C.
• Charlotte Beam Mohler, M.A.
• Barry Mol
• Darren J Moore, M.A., LPC
• Charles Muday, RPH, PHARM.D.
• Angelique Mugabekazi
• Hailey Mulder, RD
• John Craig Mulligan, D.O.
• Jony Murphy, MA CCC-SLP

• Clinical Social Worker in Hastings, MI
• Providers in Hastings, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.