Devin Moore, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851115394 Issued in MI

Practice address

810 Cottageview Dr Ste 101
Traverse City, MI 49684-2392

Phone

(231) 642-2778

Fax

(231) 252-1330

NPI assigned

Oct 24, 2022

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

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 and National Provider Directory roles.

• Head and Heart Therapeutic Solutions

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1952876567
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1366169047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 E FLEES RD",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "496708715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COTTAGEVIEW DR STE 101",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842392",
            "telephone_number": "231-642-2778",
            "fax_number": "231-252-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEVIN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Baylis Monteith, PT, MA
• Scott Arthur Monteith, M.D.
• Araya M Montero, LM, CPM, IBCLC
• Beth Ann Moore
• Deborah C Moore, FNP
• Heather Moore
• Jacqueline McClellan Moore, D.O.
• Jonathan Moore, M.S. ED
• Julie L Moore, PA-C
• Kaitlyn Marie Moore

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, 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 May 2, 2024; 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.