Gradi Moore
Individual provider Active NPI Clinical Social Worker · Mojave, CA
NPI 1609545581 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1609545581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ASW136114 (CA)
- Practice address
- 16940 Highway 14 Ste C-J
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW136114 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Center | Clinical | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/thechildrenscenter/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW136114 | CA | Yes |
Addresses
Primary practice location
16940 Highway 14 Ste C-J
Mojave, CA 93501-1238
Mailing address
PO Box 2502
California City, CA 93504-0502
Other providers in Mojave, CA
- David Mobley
- Mojave Pharmacy Inc
- Mojave Unified School District
- Crystal Molina
- Angela Montoya
- Barbara Jo Sena Munoz
- Crystal Patrese Nichols
- Karina Nilsson
- Nissen Chiropractic a P C
- Gerald Leray Nissen
All providers in Mojave, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.