Cheryl Lynne Moore, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C-09946 Issued in NM

Practice address

2904 Sudderth Dr
Suite B
Ruidoso, NM 88345

Phone

(575) 491-3300

Fax

(844) 876-6786

NPI assigned

May 8, 2019

Last updated

May 8, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1598320236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SUDDERTH DR",
            "address_2": "SUITE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "575-491-3300",
            "fax_number": "844-876-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 SUDDERTH DR",
            "address_2": "SUITE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "575-491-3300",
            "fax_number": "844-876-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-09946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Monske, C.P.N.P.
• Ida Lupe Montes-Salcedo, LMHC
• Jason Montes
• Victor Montes
• Frank R Montoya, BMS
• Tresa Carol Moore, L.M.T.
• Esequiel Morales, MPT
• Lisa Morales
• Nicholas Jason Morerod
• Mountain View Dental Ruidoso

• Social Worker in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.

Verify at the official NPI Registry.