Active NPI
Elizabeth Anne Moore, LSW
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1669835609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S. 0900789
- Practice address
- 311 Martin Luther King Dr E
Cincinnati, OH 45219-2581 - Phone
- (513) 475-5366
- Fax
- (513) 475-5394
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 | S. 0900789 | OH | Primary |
Addresses
Primary practice location
311 Martin Luther King Dr E
Cincinnati, OH 45219-2581
Mailing address
311 Martin Luther King Dr E
Cincinnati, OH 45219-2581
Phone (513) 475-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S. 0900789 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1669835609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MARTIN LUTHER KING DR E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192581",
"telephone_number": "513-475-5366",
"fax_number": "513-475-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MARTIN LUTHER KING DR E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192581",
"telephone_number": "513-475-5366",
"fax_number": "513-475-5394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S. 0900789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.