Antonia Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35520 Issued in TX

Practice address

2616 S Loop W
Ste 602
Houston, TX 77054-2662

Phone

(713) 349-9796

Fax

(713) 349-9796

NPI assigned

Apr 25, 2007

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 TX

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
  • NPI 1881842102
  Medicare reassignment NPD
• Expecting Life Foundation

  • Social Worker
  • Houston, TX
  • NPI 1205344934
  NPD Authorized official
• Antonia Moore

  dba Higher Grounds Counseling Service

  • Clinical Social Worker
  • Houston, TX
  • NPI 1477625580
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1750500856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 HAVERLING DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849159",
            "telephone_number": "713-349-9796",
            "fax_number": "713-436-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S LOOP W",
            "address_2": "STE 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542662",
            "telephone_number": "713-349-9796",
            "fax_number": "713-349-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Elizabeth Moore, M.D.
• Alexis Moore
• Alicia Carlette Moore, NCC, LPC, CI
• Andrew G Moore, D.D.S
• Angela Lynn Moore, LMSW
• April Laquinta Moore, APRN
• Ashley Moore, CART
• Ashley Moore
• Ashley N Moore
• Ashley N Moore

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.