Elizabeth Moore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114035 Issued in MI

Practice address

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023

Phone

(810) 642-3426

NPI assigned

Jul 20, 2017

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Elizabeth Belanger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Em Counseling LLC

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1174399133
  NPD Authorized official
• Rooted Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1174043848
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1548783699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484330131",
            "telephone_number": "810-642-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "810-642-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Bailey St Ste 2",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488234444",
            "country_code": "US",
            "telephone_number": "810-642-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114035",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851102703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BELANGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genesis Moore-Brewer
• Akilah Moore
• Briyanna Renee Moore
• Camilla Moore
• Cheryl L Moore, MD
• Gloria L Moore, FNP
• Jacqueline P. Moore, M.D.
• Janiah Moore
• Jasmin Moore
• Javier Christopher Moore

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.