Elisabeth Ann Moore, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-07640 Issued in NM

Practice address

1900 Westridge Rd
Carlsbad, NM 88220-3550

Phone

(575) 725-5552

Fax

(575) 725-5552

NPI assigned

Sep 11, 2008

Last updated

Mar 19, 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

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.

• Carlsbad Lifehouse Inc

  • Community/Behavioral Health Agency
  • Carlsbad, NM
  • NPI 1588521579

  Social Worker

  Medicare reassignment NPD
• Carlsbad Lifehouse Inc

  • Community/Behavioral Health Agency
  • Carlsbad, NM
  • NPI 1992398457
  Medicare reassignment
• Counseling Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roswell, NM
  • NPI 1114979747
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1407005796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3141",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882213141",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WESTRIDGE RD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203550",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-06317",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-06972",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-07640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42630282",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Molinar
• Amy Montejano
• Pamela J Montgomery, L.M.S.W.
• Alyssa Montoya
• Jessica Maria Montoya, COTA/L
• Christy Moosa, NP-C
• Ciji M Morales
• Claudia Morales
• Krystal Lynn Morales, RN
• Victoria Ruth Moreland, APRN,MSN,FNP-C

• Clinical Social Worker in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Clinical Social Worker in New Mexico

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