Ashanti Moore, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1904110 Issued in OH

Practice address

275 Martinel Dr
Kent, OH 44240-4380

Phone

(330) 673-6339

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ashanti.moore.p1@direct.iamboundless.nextgenshare.com

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.

• The Bair Foundation

  • Developmental Disabilities Clinic/Center
  • Kent, OH
  • NPI 1922066224
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1730675281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MARTINEL DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404380",
            "telephone_number": "330-673-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARTINEL DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404380",
            "telephone_number": "330-673-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHANTI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1904110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi Moerland, LISW
• Norma Jean Moffatt
• Calvin Darrell Montgomery
• Jonah Ralph Moon, MD
• Paul Mooradian, PH.D
• Casey Jean Moore
• Emily Moran
• Melodie Morgan-Minott, MD
• Reanna Morris
• Heather Moss, LPN

• Clinical Social Worker in Kent, OH
• Providers in Kent, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.