Active NPI
Scott Moore
- Clinical Social Worker
- Rapid City, SD
National Provider Identifier
1699249045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6312
- Practice address
- 506 6TH St
Rapid City, SD 57701-2726 - Phone
- (314) 375-6208
- NPI assigned
- Jan 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2022047477 | MO | |
| Clinical Social Worker | 1041C0700X | 6312 | SD | Primary |
Addresses
Primary practice location
506 6TH St
Rapid City, SD 57701-2726
Mailing address
506 6TH St
Rapid City, SD 57701-2726
Phone (314) 375-6208
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.mindaligned.com | Direct | |
| Direct Messaging Address | therapy@mindaligned.com | Direct |
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 |
|---|---|---|---|
| 2022047477 | MO | MD | Clinical Social Worker |
| 6312 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Family Healthcare, Inc. | Clinical | Past | Accepting new patients |
| Preferred Family Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Clarity Healthcare
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
-
dba Bridgeway Behavioral Health
- Substance Use Disorder Rehabilitation Clinic/Center
- Saint Louis, MO
- NPI 1700330834
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1699249045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012726",
"telephone_number": "314-375-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012726",
"telephone_number": "314-375-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-18",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2022047477",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.mindaligned.com",
"affiliation": "N",
"endpointDescription": "Company Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "506 6th St",
"city": "Rapid City",
"state": "SD",
"country_code": "US",
"postal_code": "577012726",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "therapy@mindaligned.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "506 6th St",
"city": "Rapid City",
"state": "SD",
"country_code": "US",
"postal_code": "577012726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.