Michelle Susan Moore, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11815 Issued in MD

Practice address

377 Hawthorne CT
Westminster, MD 21158-2030

Phone

(410) 916-3108

NPI assigned

Oct 10, 2022

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 MD

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridginglife, Inc.Group PAC ID 4880797943, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridginglife, Inc.

  • Community Based Hospice Care Agency
  • Westminster, MD
  • NPI 1760673669
  Medicare reassignment Care Compare group NPD
• Bridginglife, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Westminster, MD
  • NPI 1073104535
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1619692985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 HAWTHORNE CT",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211582030",
            "telephone_number": "410-916-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 HAWTHORNE CT",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211582030",
            "telephone_number": "410-916-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELLE",
        "middle_name": "SUSAN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mokhtar Nasir MD PA
• Aminta Monboe, CRNP-ACUTE CARE
• Moore Deyo Family Dentistry, LLC
• Caitlin Anne Moore, DDS
• Lauren Moore, PT
• Krystal D Morea, LGSW
• Madeline Morey, LCPC
• Moriarty Associates
• Robin Morie, CCC-SLP
• Emmerita Afenaso Morris, CRNP

• Clinical Social Worker in Westminster, MD
• Providers in Westminster, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.