Melva Moore, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60942630 Issued in WA

Practice address

930 N Monroe St
Spokane, WA 99201-2112

Phone

(509) 789-9273

Fax

(509) 444-0488

NPI assigned

Oct 3, 2017

Last updated

Apr 6, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Melva Buyers Former name

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Young Womens Christian Association

  dba YWCA Spokane

  • Voluntary or Charitable Agency
  • Spokane, WA
  • NPI 1013332691
  Medicare reassignment NPD
• Lilac City Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1386444511
  NPD Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1790295830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012112",
            "telephone_number": "509-789-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012112",
            "telephone_number": "509-789-9273",
            "fax_number": "509-444-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELVA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60942630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144881",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELVA",
            "last_name": "BUYERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kari Beth Moore, PT
• Kathryn A Moore, PA-C
• Kenneth F Moore Jr.
• Malyja Leigh Moore
• Marquise Moore
• Michael R Moore, MD
• Nancy L Moore, PHARMD
• Nandi Moore
• Rebecca Moore, LICSW
• Sarah Ann Moore, MD

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.