Individual provider Active NPI

Patrick R Moore, CSW-PIP

  • Clinical Social Worker
  • Aberdeen, SD
National Provider Identifier
1679879142
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3195 Issued in SD
Practice address
1721 S 8TH St
Aberdeen, SD 57401-6843
Phone
(605) 377-8696
NPI assigned
Feb 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3195 SD Primary

Addresses

Primary practice location

1721 S 8TH St
Aberdeen, SD 57401-6843

Mailing address

1721 S 8TH St
Aberdeen, SD 57401-6843
Phone (605) 377-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lost and Found, LLC Clinical CurrentSince Dec 29, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1679879142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S 8TH ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016843",
            "telephone_number": "605-377-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S 8TH ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016843",
            "telephone_number": "605-377-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "CSW-PIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.