Stuart Moore LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003326 Issued in VA

Legal business name

STUART MOORE LLC

Practice address

12050 S Lakes Dr
Reston, VA 20191-1220

Phone

(703) 386-0050

NPI assigned

Jun 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stuart Coleman Moore, LCSWNPI 1346318763

Title

Owner

Phone

(703) 386-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stuart Moore LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Coleman Moore, LCSW

  • Psychologist
  • Fairfax, VA
  • NPI 1346318763

  DC

  Medicare reassignment Authorized official
• Sonja Olsen Bloom, M.A.

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1124150719

  Clinical

  NPD (past)
• Joan Fox, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1730240078

  Clinical

  NPD (past)
• Linda D. Harding, L.C.S.W.

  • Mental Health Counselor
  • Alexandria, VA
  • NPI 1891890448
  NPD (past)
• Rebecca Elizabeth Hochbrueckner, LCSW

  • Clinical Social Worker
  • Springfield, VA
  • NPI 1437700903

  Clinical

  NPD (past)
• Clio Long, PSY.D.

  • Psychologist
  • Alexandria, VA
  • NPI 1598124638
  NPD (past)
• Margaret Ter Horst Robinson, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1770984189

  Clinical

  NPD (past)
• Denise Cooper Shauer, M.S.W.

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1750467114

  Clinical

  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1417440397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911220",
            "telephone_number": "703-386-0050",
            "fax_number": "703-476-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911220",
            "telephone_number": "703-386-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 Hinson Farm Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063404",
            "country_code": "US",
            "telephone_number": "703-386-0050",
            "fax_number": "703-476-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STUART MOORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-386-0050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346318763",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Moore LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alicia Stringham, PA-C
• William Karl Strobel II, LCSW
• Cynthia Diane Stroud, LCSW
• Foster Stroup
• Stuart Andrews, LLC
• Julieanne Bonner Sugg, PAC
• Thomas S Sullivan, M.D.
• Sun Psychiatry PLLC
• Yan Sun, FNP-BC
• Ann Sundaresan, LCSW

• All providers in Reston, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.