Active NPI
Danica D Moore-Young, MSW, LSW
- Social Worker
- Philadelphia, PA
National Provider Identifier
1679058689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW130012
- Practice address
- 246 W Upsal St Apt B203
Philadelphia, PA 19119-3208 - Phone
- (267) 346-0969
- NPI assigned
- Sep 26, 2018
- Last updated
- Sep 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130012 | PA | Primary |
Addresses
Primary practice location
246 W Upsal St Apt B203
Philadelphia, PA 19119-3208
Mailing address
246 W Upsal St Apt B203
Philadelphia, PA 19119-3208
Phone (267) 346-0969
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 |
|---|---|---|---|
| SW130012 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1679058689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 W UPSAL ST APT B203",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193208",
"telephone_number": "267-346-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 W UPSAL ST APT B203",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193208",
"telephone_number": "267-346-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE-YOUNG",
"first_name": "DANICA",
"middle_name": "D",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.