Active NPI
Shana Moorefield, LGSW
- Social Worker
- North East, MD
National Provider Identifier
1598287450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20047
- Practice address
- 2057 Pulaski Hwy Ste 4
North East, MD 21901-3744 - Phone
- (443) 877-4044
- Fax
- (443) 967-0077
- NPI assigned
- Jul 12, 2017
- Last updated
- Jul 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Social Worker | 104100000X | 20047 | MD | Primary |
Addresses
Primary practice location
2057 Pulaski Hwy Ste 4
North East, MD 21901-3744
Mailing address
26 Buttonbush CT
Elkton, MD 21921-1501
Phone (240) 409-3395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2057 Pulaski Hwy
North East, MD 21901-3744
Phone (443) 877-4044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jesse Fairchild LLC | Mental Health | Current | Accepting new patients |
Locations
2057 Pulaski Hwy
Ste 4
North East, MD 21901
Phone (443) 877-4044
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1598287450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BUTTONBUSH CT",
"city": "ELKTON",
"state": "MD",
"postal_code": "219211501",
"telephone_number": "240-409-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2057 PULASKI HWY STE 4",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013744",
"telephone_number": "443-877-4044",
"fax_number": "443-967-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREFIELD",
"first_name": "SHANA",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "20047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North East, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.