Laura Elizabeth Moyers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010366 Issued in VA

Practice address

5570 Richmond Rd Ste 203
Troy, VA 22974-4421

Phone

(304) 777-9384

NPI assigned

Apr 10, 2018

Last updated

Dec 31, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Pine Ridge Therapy Services PLLC

  • Clinical Social Worker
  • Troy, VA
  • NPI 1124656798
  Authorized official Same address or phone

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1407353162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 ROSE HILL CHURCH LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027588",
            "telephone_number": "304-777-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 RICHMOND RD STE 203",
            "city": "TROY",
            "state": "VA",
            "postal_code": "229744421",
            "telephone_number": "304-777-9384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ashley St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "VA",
            "postal_code": "23093",
            "country_code": "US",
            "telephone_number": "540-967-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Jackson, LCSW
• Tia A Jones-Mitchell
• Sinan Kamal, M.D.
• Brian Kiernan, PH.D.
• Andrew Mikesh
• Christina Henderson Paxson, L.AC., DIPL.AC.
• Pediatric Oasis
• Pine Ridge Therapy Services PLLC
• Bhima Rai
• Chey Robb-Gamboa, FNP

• Clinical Social Worker in Troy, VA
• Providers in Troy, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.