Individual provider Active NPI

Valeka Moore

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1619271970
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16400 Issued in MD
Practice address
9906 Twin Fawn TRL
Laurel, MD 20723-2713
Phone
(240) 755-2770
NPI assigned
Dec 30, 2010
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16400 MD Primary

Addresses

Primary practice location

9906 Twin Fawn TRL
Laurel, MD 20723-2713

Mailing address

9906 Twin Fawn TRL
Laurel, MD 20723-2713
Phone (240) 755-2770

Other practice location 1

10154 High Ridge Rd
Laurel, MD 20723-1782
Phone (240) 712-1221

Other identifiers 1

IdentifierTypeStateIssuer
0705454P0000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@drvalekamoore.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1619271970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 TWIN FAWN TRL",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207232713",
            "telephone_number": "240-755-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9906 TWIN FAWN TRL",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207232713",
            "telephone_number": "240-755-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10154 High Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207231782",
            "country_code": "US",
            "telephone_number": "240-712-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VALEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0705454P0000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@drvalekamoore.com",
            "affiliation": "N",
            "address_1": "9906 Twin Fawn Trl",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207232713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.