Active NPI
Moore Therapeutic and Consulting Services
- Clinical Social Worker
- Lanham, MD
National Provider Identifier
1447700638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14343
- Legal business name
- MOORE THERAPEUTIC AND CONSULTING SERVICES
- Practice address
- 9332 Annapolis Rd
Lanham, MD 20706-3113 - Phone
- (301) 710-9400
- NPI assigned
- Oct 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tyra J Moore, LICSW, LCSW-C
- Title
- Clinical Director
- Phone
- (571) 247-8039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14343 | MD | Primary |
Addresses
Primary practice location
9332 Annapolis Rd
Lanham, MD 20706-3113
Mailing address
7605 E Arbory CT
Laurel, MD 20707-5527
Phone (571) 247-8039
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lanham, MD
- NPI 1720538911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476144000000",
"number": "1447700638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7605 E ARBORY CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075527",
"telephone_number": "571-247-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9332 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063113",
"telephone_number": "301-710-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE THERAPEUTIC AND CONSULTING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "TYRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "571-247-8039",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW, LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.