Active NPI
Donna Rae Moore, MSW LICSW
- Social Worker
- Seattle, WA
National Provider Identifier
1518027465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW00006433WASH
- Practice address
- 4850 California Ave SW Suite 101
Westside Counseling Center
Seattle, WA 98116 - Phone
- (206) 933-8990
- Fax
- (206) 937-3652
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LW00006433WASH | WA | Primary |
Addresses
Primary practice location
4850 California Ave SW Suite 101
Westside Counseling Center
Seattle, WA 98116
Mailing address
4850 California Ave SW Suite 101
Westside Counseling Center
Seattle, WA 98116
Phone (206) 933-8990
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006433WASH | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518027465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 CALIFORNIA AVE SW SUITE 101",
"address_2": "WESTSIDE COUNSELING CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98116",
"telephone_number": "206-933-8990",
"fax_number": "206-937-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 CALIFORNIA AVE SW SUITE 101",
"address_2": "WESTSIDE COUNSELING CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98116",
"telephone_number": "206-933-8990",
"fax_number": "206-937-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DONNA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW00006433WASH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.