Leesha Moore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P00006986 Issued in NC

Practice address

175 W Franklin Blvd
Gastonia, NC 28052-4145

Phone

(704) 865-3529

NPI assigned

Oct 18, 2012

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, TX, VA3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Therapeutic Intervention Services, Inc.

  • Case Management Agency
  • Houston, TX
  • NPI 1770188047
  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  NC, VA

  Medicare reassignment
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  NC, VA

  Medicare reassignment
• Building Hope Therapy & Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1194254433
  Authorized official Same address or phone
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Case Management Agency
  • Gastonia, NC
  • NPI 1164850525
  NPD
• Supreme Medical Center LLC

  • General Practice Physician
  • Houston, TX
  • NPI 1023573805
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1750634416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TYLER TRAIL CT",
            "address_2": "APT 322",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623397",
            "telephone_number": "704-223-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524145",
            "telephone_number": "704-865-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LEESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P00006986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elaine Moore
• Jacob L Moore, MSW,LCSWA
• Jeremy Scott Moore, MPHA
• Jessica Moore
• Kelly Lynn Moore, LPCA
• Lisa Hamilton Moore, PHARM D
• Melissa I Moose, LC SW
• Victoria Mora Santos
• Yessenia Guadalupe Morales Saldana, BSN,RN
• Audrey Grace Moran

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, 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 Jun 30, 2022; 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.