Jermaun Moore, LICSW, LCSW-C, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14935 Issued in MD

Practice address

6188 Oxon Hill Rd Ste 500
Oxon Hill, MD 20745-3136

Phone

(301) 567-0400

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1588874259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453136",
            "telephone_number": "301-567-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 14th St NW",
            "address_2": "14th Floor",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200053403",
            "country_code": "US",
            "telephone_number": "202-737-2554 x2314",
            "fax_number": "202-737-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JERMAUN",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanche Mokoso, FNP
• Jorge A Mondino, M.D.
• Julius Diaga Monkam
• Quentin E Monroe, DDS
• Moore OBGYN LLC (Moore OBGYN)
• Myra O'Brien Moore
• Santiago Dumlao Morao Jr., MD
• Elizabeth Sharpe Morris, DDS
• Renee Mueller, PA-C
• James Patrick Mullings, LGPC

• Clinical Social Worker in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.