Dori E. Moore, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0512 Issued in KS

Practice address

8340 Mission Rd
Suite 210
Prairie Village, KS 66206-1355

Phone

(913) 642-0100

Fax

(913) 642-0176

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 2

Other names 1

• Dorothea E. Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mid America Family Chiropractic, LLC

  • Chiropractor
  • Lansing, KS
  • NPI 1346411287
  NPD (past)
• Sophia Center, LLC

  • Professional Counselor
  • Lansing, KS
  • NPI 1992016760
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760406987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD",
            "address_2": "SUITE 210",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-642-0100",
            "fax_number": "913-642-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD",
            "address_2": "SUITE 210",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-642-0100",
            "fax_number": "913-642-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DORI",
        "middle_name": "E.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "0512",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC",
            "identifier": "16782017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KANSAS",
            "identifier": "625078",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHEA",
            "last_name": "MOORE",
            "middle_name": "E.",
            "credential": "LSCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mission Chateau LLC (Mission Chateau Senior Living Community)
• MMS Kansas City Inc.
• Mokan Weight Loss and Metabolic Health LLC
• Monarch Mental Health LLC
• Abby Moody, NP
• James Eric Moore, DDS
• Charles Richard Morales II, ARNP
• Jessica Renee Morales
• Paige Morrell
• Richard Allen Morrison, MD

• Clinical Social Worker in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.