Active NPI
Monique R Delay-Moore, LCSW
- Clinical Social Worker
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004960
- Practice address
- 4116 Arkwright Rd Ste 1
Macon, GA 31210-1707 - Phone
- (478) 216-5534
- Fax
- (478) 333-2173
- NPI assigned
- Dec 3, 2008
- Last updated
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004960 | GA | Primary |
| Community/Behavioral Health Agency | 251S00000X | 004960 | GA |
Addresses
Primary practice location
4116 Arkwright Rd Ste 1
Macon, GA 31210-1707
Mailing address
PO Box 6619
Macon, GA 31208-6619
Phone (317) 809-0512
Other practice location 1
109 Osigian Blvd Ste 300
Warner Robins, GA 31088-8924
Phone (478) 333-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003163200A | Medicaid | GA |
Other names 1
- Monique R Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Riverside Dr
Suite 97
Macon, GA 31210-1848
4116 Arkwright Rd
Suite 1
Macon, GA 31210-1707
Phone (478) 333-2411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004960 | GA | MD | Clinical Social Worker |
| 004960 | GA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Foot and Ankle Solutions, LLC | Current | Accepting new patients | |
| Moore Resolutions Group, LLC | Clinical | Current | Accepting new patients |
| Monique Rechelle Delay Moore | Community/Behavioral Health | Past | Accepting new patients |
Locations
4100 Riverside Dr
#97
Macon, GA 31210
Phone (317) 809-0512
4116 Arkwright Rd
#1
Macon, GA 31210
Phone (478) 216-5534
109 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 333-2430
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Warner Robins, GA
- NPI 1033664222
-
- Community/Behavioral Health Agency
- Macon, GA
- NPI 1073914115
-
- Foot & Ankle Surgery Podiatrist
- Macon, GA
- NPI 1023563210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1467697524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6619",
"city": "MACON",
"state": "GA",
"postal_code": "312086619",
"telephone_number": "317-809-0512",
"fax_number": "478-333-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4116 ARKWRIGHT RD STE 1",
"city": "MACON",
"state": "GA",
"postal_code": "312101707",
"telephone_number": "478-216-5534",
"fax_number": "478-333-2173"
}
],
"practiceLocations": [
{
"address_1": "109 Osigian Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310888924",
"country_code": "US",
"telephone_number": "478-333-2411",
"fax_number": "478-333-2173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELAY-MOORE",
"first_name": "MONIQUE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004960",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "004960",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003163200A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "MOORE",
"middle_name": "R",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.