Organization Active NPI

Karen Moore, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stuart, FL
National Provider Identifier
1386269603
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KAREN MOORE, LCSW, LLC
Practice address
1111 SE Federal Hwy Ste 206
Stuart, FL 34994-3842
Phone
(772) 212-2935
NPI assigned
Jun 11, 2020
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Karen Moore, LCSW, CEDSNPI 1497165591
Title
Psychotherapist
Phone
(772) 212-2935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1111 SE Federal Hwy Ste 206
Stuart, FL 34994-3842

Mailing address

1111 SE Federal Hwy Ste 206
Stuart, FL 34994-3842
Phone (772) 212-2935

National Provider Directory

National Provider Directory

Locations

1111 SE Federal Hwy
Ste 206
Stuart, FL 34994
Phone (772) 212-2935

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1386269603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY STE 206",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943842",
            "telephone_number": "772-212-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY STE 206",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943842",
            "telephone_number": "772-212-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN MOORE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "772-212-2935",
        "authorized_official_credential": "LCSW, CEDS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.