Crystal Moore, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099464-1 Issued in NY

Practice address

5 Court St Ste 42
Norwich, NY 13815-1695

Phone

(607) 337-1600

Fax

(607) 334-4519

NPI assigned

Jan 10, 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

Medicare fee-for-service enrollment

Enrolled in NY

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)

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 and National Provider Directory roles.

• Delaware County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walton, NY
  • NPI 1740375385

  NY

  Medicare reassignment NPD
• Delaware County

  • Public Health or Welfare Agency
  • Delhi, NY
  • NPI 1154689495
  NPD

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1356887657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LIBERTY ST",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561111",
            "telephone_number": "607-437-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST STE 42",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099464-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Mills
• Lisa Beth Miner
• Janice Minutti, RD
• Heather Lynn Montgomery, RN
• Katelyn A Mooney, RN
• Dinnett Ann Moore, LMT
• James R Moore, CRNA
• Jessica Moore
• Thomas C Morris, DMD
• Johanna Stuart Mary Moses, D.C.

• All providers in Norwich, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.