Active NPI
Karen Loleta Moore, LICSW
- Clinical Social Worker
- Greensboro, AL
National Provider Identifier
1508627142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4532C
- Practice address
- 508 Greene St
Greensboro, AL 36744-2318 - Phone
- (334) 624-3024
- NPI assigned
- Jan 22, 2024
- Last updated
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4532C | AL | Primary |
Addresses
Primary practice location
508 Greene St
Greensboro, AL 36744-2318
Mailing address
1605 9TH St N
Tuscaloosa, AL 35406-2029
Phone (205) 393-9796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4532C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1508627142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 9TH ST N",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062029",
"telephone_number": "205-393-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 GREENE ST",
"city": "GREENSBORO",
"state": "AL",
"postal_code": "367442318",
"telephone_number": "334-624-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KAREN",
"middle_name": "LOLETA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4532C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.