Kerry Lynn Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26855 Issued in CA

Practice address

229 E Jacaranda Ave
Orange, CA 92867-4842

Phone

(714) 824-7218

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1619433588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E JACARANDA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674842",
            "telephone_number": "714-824-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E JACARANDA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674842",
            "telephone_number": "714-824-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunyoung Moon
• Lauren Haekyung Quy Moon
• Isis Sherae/Kola Moore
• Jacqueline Jovon Moore
• Kendra Moore
• Lisa Moore
• Michael Moore, MD
• Rachelle K Moore, CCC-SLP
• Richard Moore, MD
• Tyler B Moore, MD

• Clinical Social Worker in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.