Active NPI
Lorelei Jean Moore, LLMSW
- Social Worker
- Marne, MI
National Provider Identifier
1720714280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 15146 16TH Ave
Marne, MI 49435-9605 - Phone
- (616) 288-6970
- NPI assigned
- Jul 27, 2022
- Last updated
- Jul 27, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MI | Primary |
Addresses
Primary practice location
15146 16TH Ave
Marne, MI 49435-9605
Mailing address
15146 16TH Ave
Marne, MI 49435-9605
Phone (616) 288-6970
Other practice location 1
1003 Parchment Dr SE
Grand Rapids, MI 49546-3664
Phone (616) 957-7700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Counseling Services PLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Grand Rapids, MI
- NPI 1407590383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1720714280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15146 16TH AVE",
"city": "MARNE",
"state": "MI",
"postal_code": "494359605",
"telephone_number": "616-288-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15146 16TH AVE",
"city": "MARNE",
"state": "MI",
"postal_code": "494359605",
"telephone_number": "616-288-6970"
}
],
"practiceLocations": [
{
"address_1": "1003 Parchment Dr SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495463664",
"country_code": "US",
"telephone_number": "616-957-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LORELEI",
"middle_name": "JEAN",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marne, MI
- Barbra Ann Katerberg, OTD, OTR/L
- Lafayette Medical Specialists PLLC (Sanford Medical Specialists PLLC)
- Ellen M Laubacher, LMSW
- Natalie Catherine McDonald, LLMSW
- Mi Rehab Solutions LLC
- Ethan Andrew Nayback, AT-C
- Arden Catherine Ott, LMSW
- Caroline Stanton Parmelee-Noffsinger, LMSW
- Kylie Pershey
- Radiant Life Therapies LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.