Elizabeth Lee Moore, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7992 Issued in TN

Practice address

1020 Dortch LN
Nolensville, TN 37135-9704

Phone

(615) 289-5316

NPI assigned

Mar 1, 2021

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
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  • Clinical Social Worker
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  • NPI 1760926075
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1396330445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 DORTCH LN",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359704",
            "telephone_number": "615-289-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 DORTCH LN",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359704",
            "telephone_number": "615-289-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 McMinnville Hwy",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553179",
            "country_code": "US",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "482 Interstate Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553409",
            "country_code": "US",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Holiday Ct Ste D7",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370671311",
            "country_code": "US",
            "telephone_number": "615-289-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "7992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Nolensville, TN
• Providers in Nolensville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.