Lanetta Jean Perry- Moore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075499 Issued in NY

Practice address

187 Pinehurst Ave
1G
New York, NY 10033-1847

Phone

(212) 281-5695

Fax

(212) 281-5892

NPI assigned

Feb 8, 2007

Last updated

Jan 28, 2011By the provider in NPPES

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

Other names 1

• Ms. Lanetta Jean Perry- Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1386784122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 PINEHURST AVE",
            "address_2": "1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331847",
            "telephone_number": "212-281-5695",
            "fax_number": "212-281-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 PINEHURST AVE",
            "address_2": "1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331847",
            "telephone_number": "212-281-5695",
            "fax_number": "212-281-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY- MOORE",
        "first_name": "LANETTA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANETTA",
            "last_name": "PERRY- MOORE",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "LCSWR, CASAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Perrotto
• Perry Health, Inc.
• Perry Medical Group of Florida PA
• Perry Medical Group of New Jersey PA
• Perry Robins, MD, PC
• Amanda Margaret Perry, MD, MPH
• Andrea Olivia Perry, MD
• Arthur Perry III, PA-C
• Carol Lisa Perry, PH.D.
• Catherine Perry

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.