Jennifer C Moore, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2948C Issued in NV

Practice address

7180 Cascade Valley CT Ste 200
Las Vegas, NV 89128-0481

Phone

(702) 240-8639

Fax

(702) 240-6970

NPI assigned

Apr 3, 2007

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

Medicare fee-for-service enrollment

Enrolled in NV, TX2 enrollments

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 2

Specialty

Clinical Social Worker

Education

University of Nevada, Las Vegas School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer C Moore MSW LCSW IncGroup PAC ID 8628137304, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: foundationscounseling.jennifermoore@153695.advancedmd-direct.com

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

• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1225280969

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1013615079
  NPD (past) Authorized official
• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1871478743
  NPD (past) Authorized official
• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1962099572
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1407977523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370763",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280481",
            "telephone_number": "702-240-8639",
            "fax_number": "702-240-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Green Valley Pkwy Ste 140-150",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890520430",
            "country_code": "US",
            "telephone_number": "702-240-8639 x1",
            "fax_number": "702-240-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2948C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine L. Moore
• Jason Moore
• Jeffrey A Moore, OT
• Jennifer Moore
• Jennifer Moore
• Jerri Moore
• Jesse Moore
• Jesse James Moore Sr.
• Jessica Moore, FNP-C
• John Moore

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.