Karen Melissa Moon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5498-C Issued in AR

Practice address

26 E Meadow St Ste 9
Fayetteville, AR 72701-5357

Phone

(479) 368-0036

NPI assigned

Nov 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Little Rock Community Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1073685459
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1629147889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 N VILLA BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033333",
            "telephone_number": "479-841-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MEADOW ST STE 9",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015357",
            "telephone_number": "479-368-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "KAREN",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5498-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Gaston Montgomery, M.D.
• Clarice Montgomery, PHARMD
• Janet K Montgomery, SLP
• Roger C Montgomery, M.D.
• Bobbi L Moon, LMSW
• Tiffany Mooney, D.P.T
• Mandy Suzanne Mooneyham, PA-C
• Aleigh Marie Moore-Masterson, BT
• Andrew Moore
• Bailie N Moore, APRN

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.