Nya Moore, MSW,LCSWA,LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017821 Issued in NC

Practice address

409 Parkway St Ste B
Greensboro, NC 27401-1623

Phone

(336) 552-4467

Fax

(336) 612-2338

NPI assigned

Aug 29, 2022

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)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carelink Solutions

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1760705768
  NPD (past)
• Carelink Solutions

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1992949705
  NPD (past)
• Journeys Counseling Center Inc.

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1982907838

  Clinical

  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1629798046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 YANCEYVILLE RD",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149646",
            "telephone_number": "336-314-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PARKWAY ST STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011623",
            "telephone_number": "336-552-4467",
            "fax_number": "336-612-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 Grove St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274033410",
            "country_code": "US",
            "telephone_number": "336-707-4884",
            "fax_number": "336-500-8951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NYA",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSWA,LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanael David Moore, OTR/L
• Nichole Moore
• Nicole Yvette Moore, LCAS
• Nikia Jones Moore, PT, DPT
• Nil A Moore, EDD
• Rebekah Basily Moore, CCC-SLP
• Sally Caroline Moore
• Shanequa Ieshia Moore
• Tomeko Moore
• Zikia Moore

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.