Moore Mental Health Services, Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002089 Issued in GA

Legal business name

MOORE MENTAL HEALTH SERVICES, CORPORATION

Practice address

2394 Charleston Oaks LN
Decatur, GA 30030-1451

Phone

(404) 377-4706

Fax

(404) 377-4174

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Erna H Klinkhammer-Moore, LCSW

Title

President

Phone

(404) 377-4706

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erna H Klinkhammer, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1649377219
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362182400000",
    "number": "1568569135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 CHARLESTON OAKS LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301451",
            "telephone_number": "404-377-4706",
            "fax_number": "404-377-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 CHARLESTON OAKS LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301451",
            "telephone_number": "404-377-4706",
            "fax_number": "404-377-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE MENTAL HEALTH SERVICES, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-03-02",
        "status": "A",
        "authorized_official_last_name": "KLINKHAMMER-MOORE",
        "authorized_official_first_name": "ERNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-377-4706",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055003553A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reagan Monturo
• Harriet D Moody, PA-C
• Catherine Berry Moon, LCSW
• Karen Moon, DPM
• Shaini Moonjeli, NP
• Laparisienne Moore-Brown, LMSW
• Sondi Saadia Moore-Waters, M.D
• David Ernest Moore
• Debbie F. Moore, RN
• Debra L. Moore, PH.D.

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2013; 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.