Carolyn R. Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-10034 Issued in AZ

Practice address

50 Stutz Bearcat Dr
Suite 2
Sedona, AZ 86336-5268

Phone

(928) 300-4539

NPI assigned

Apr 16, 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

Other identifiers 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386869303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STUTZ BEARCAT DR",
            "address_2": "SUITE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365268",
            "telephone_number": "928-300-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STUTZ BEARCAT DR",
            "address_2": "SUITE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365268",
            "telephone_number": "928-300-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLYN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ NON-CONTRACTED",
            "identifier": "AZ0913070",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Joseph Minard, D.C.
• Nancy Burns Moeller, OT
• Nanette Darlene Mongelluzzo, LPC
• Calli Grace Monroe, LAC
• Terrence J Montgomery, NP
• George L Moore, D.D.S.,P.C.
• McKenzie A Moore, MS
• Kassie K Morgan, LAC, DIPL.OM
• Mountain Dove Chiropractic Inc.
• Sarah Mowdy, L. AC.

• Clinical Social Worker in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.