Individual provider Active NPI

Ludie Kathleen Floyd-Moore, LISW-CP

  • Clinical Social Worker
  • Society Hill, SC
National Provider Identifier
1497247241
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18712 Issued in SC
Practice address
737 S Main St
Society Hill, SC 29593-8972
Phone
(843) 378-4502
Fax
(843) 378-4209
NPI assigned
Jun 6, 2018
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18712 SC Primary

Addresses

Primary practice location

737 S Main St
Society Hill, SC 29593-8972

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Other identifiers 1

IdentifierTypeStateIssuer
LW1054MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001139 SC Practitioner - Clinical Social Worker 2163771775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

Practice addresses (Care Compare)

737 S Main St
Society Hill, SC 29593-8972
Phone (843) 378-4501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caresouth Carolina, Inc CurrentSince Jun 28, 2018 Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients

Locations

545 Sumter Hwy
Bishopville, SC 29010
Phone (803) 484-5317

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

737 S Main St
Society Hill, SC 29593
Phone (843) 378-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1497247241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-309-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S MAIN ST",
            "city": "SOCIETY HILL",
            "state": "SC",
            "postal_code": "295938972",
            "telephone_number": "843-378-4502",
            "fax_number": "843-378-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD-MOORE",
        "first_name": "LUDIE",
        "middle_name": "KATHLEEN",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LW1054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Society Hill, SC

Sources for this page

Verify at the official NPI Registry.