Eugenia Elder Moore, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10973 Issued in MD

Practice address

314 Wyndhurst Ave
Baltimore, MD 21210-2416

Phone

(410) 967-8882

NPI assigned

Jan 3, 2007

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

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1386791549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 PINEHURST RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122532",
            "telephone_number": "410-967-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WYNDHURST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102416",
            "telephone_number": "410-967-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EUGENIA",
        "middle_name": "ELDER",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas G Moore
• Eddie Moore
• Edward Moore
• Elaine Moore, MA, CAS
• Erica Moore
• Eva Michele Moore, MD
• Greta Jane Moore, MSN, AGNP-C
• Heather Lyn Moore, CRNA
• Heidi Moore
• Ilyssa Paige Moore, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.