Macklyn Kelley Moorhead, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8620 Issued in FL

Practice address

10263 Gandy Blvd N Apt 2114
Saint Petersburg, FL 33702-2329

Phone

(727) 755-3021

NPI assigned

Aug 17, 2011

Last updated

Mar 15, 2015By 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

Other names 1

• McKell Moorhead Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1467732842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10263 GANDY BLVD N",
            "address_2": "APT 2114",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022389",
            "telephone_number": "727-482-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10263 GANDY BLVD N APT 2114",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022329",
            "telephone_number": "727-755-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "MACKLYN",
        "middle_name": "KELLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKELL",
            "last_name": "MOORHEAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mariah Dawn Moore, M.S. CF-SLP
• Natalie Nicole Moore, CRNA
• Sandra M Moore, R.PH.
• Shawanda Lassettte Moore, MSN, BS, RN
• Sherrie Faith Moore, M.D.
• Amaya Kaley Mora
• Ashley Ann Morales
• Bonnie Morales, FNP-C
• Daniel Louis Morales, PT, DPT
• Pedro Jose Morales, MD

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.