Active NPI
Sarah E Moore, LCSW
- Clinical Social Worker
- Apex, NC
National Provider Identifier
1619993417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004996
- Practice address
- 800 W Williams St Ste 280
Apex, NC 27502-5203 - Phone
- (919) 451-0036
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004996 | NC | Primary |
Addresses
Primary practice location
800 W Williams St Ste 280
Apex, NC 27502-5203
Mailing address
541 Gooseberry Dr
Holly Springs, NC 27540-7095
Phone (919) 451-0036
Other practice location 1
541 Gooseberry Dr
Holly Springs, NC 27540-7095
Phone (919) 451-0036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003491 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050909000563 | NC | Practitioner - Clinical Social Worker | 3779515770 | Practice locations: Holly Springs, NC; Raleigh, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5540 Centerview Dr
Suite 200
Raleigh, NC 27606-3386
Phone (919) 451-0036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1619993417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 GOOSEBERRY DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407095",
"telephone_number": "919-451-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W WILLIAMS ST STE 280",
"city": "APEX",
"state": "NC",
"postal_code": "275025203",
"telephone_number": "919-451-0036"
}
],
"practiceLocations": [
{
"address_1": "541 Gooseberry Dr",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275407095",
"country_code": "US",
"telephone_number": "919-451-0036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SARAH",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003491",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.