Individual provider Active NPI

Debra S Moon

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1376090464
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009915 Issued in NC
Practice address
15 Larchmont Rd
Asheville, NC 28804
Phone
(828) 337-0021
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009915 NC Primary

Addresses

Primary practice location

15 Larchmont Rd
Asheville, NC 28804

Mailing address

5 Clairmont Ave
Asheville, NC 28804-2501
Phone (828) 337-0021

Other practice location 1

5 Clairmont Ave
Asheville, NC 28804-2501
Phone (828) 337-0021 ext. 70021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20170823003940 NC Practitioner - Clinical Social Worker 7012289143 Practice locations: Asheville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Larchmont Rd
Asheville, NC 28804-2412
Phone (828) 337-0021

5 Clairmont Ave
Asheville, NC 28804-2501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530403200000",
    "number": "1376090464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CLAIRMONT AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042501",
            "telephone_number": "828-337-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LARCHMONT RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28804",
            "telephone_number": "828-337-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Clairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288042501",
            "country_code": "US",
            "telephone_number": "828-337-0021 x70021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "DEBRA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2018-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.