Amy Moore, LCSWA, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007850 Issued in NC

Practice address

313 Clifton St
Greenville, NC 27858-5008

Phone

(252) 353-0100

Fax

(252) 364-8117

NPI assigned

May 20, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dixon Social Interactive Services, Inc.

  • Community/Behavioral Health Agency
  • Kinston, NC
  • NPI 1770715294
  Medicare reassignment NPD

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1740692128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MARTINSBOROUGH RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586207",
            "telephone_number": "252-917-0545",
            "fax_number": "252-353-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CLIFTON ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585008",
            "telephone_number": "252-353-0100",
            "fax_number": "252-364-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LCSWA, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Gangwar Mookerjee, MD
• Sukyung Moon
• Moonbeam and Miracles Therapeutic Horsemanship Center
• Bernetta Moore- Sutton, MS, LPCA
• Alexis Moore
• Ashley Briana Moore, MD
• Candice Moore, LCAS-A
• Carol Ann Moore, MD
• Cindy S Moore, MAHSP
• Danasia Moore, LCSW-A

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.