Individual provider Active NPI

Jasmine Moore, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1386285237
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014534 Issued in NC
Practice address
600 Park Offices Dr Ste 300
Durham, NC 27709-1012
Phone
(919) 578-2725
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 C014534 NC Primary

Addresses

Primary practice location

600 Park Offices Dr Ste 300
Durham, NC 27709-1012

Mailing address

600 Park Offices Dr Ste 300
Durham, NC 27713-2887
Phone (919) 578-2725

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
I20220325001367 NC Practitioner - Clinical Social Worker 3072908268 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richardson Martin Incorporated CurrentSince Nov 1, 2022 Accepting new patients
Advance Community Health, Inc CurrentSince Mar 14, 2022 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 10, 2022 Accepting new patients
Bloom With Grace, PLLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

187 High House Rd
Cary, NC 27511

600 Park Offices Dr
Ste 300
Durham, NC 27713
Phone (919) 260-3260

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500

1024 Mebane Oaks Rd
Mebane, NC 27302

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

727 W Hargett St
Ste 103
Raleigh, NC 27603
Phone (919) 264-4615

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1386285237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132887",
            "telephone_number": "919-578-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277091012",
            "telephone_number": "919-578-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASMINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.