Michelle Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006275A Issued in IN

Practice address

435 E Main St Ste 200
Greenwood, IN 46143-1457

Phone

(317) 743-8202

NPI assigned

Jun 7, 2012

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

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.

• Generations Counseling Services, LLC

  • Professional Counselor
  • Greenwood, IN
  • NPI 1821509126
  NPD

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1801157649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431457",
            "telephone_number": "317-743-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431457",
            "telephone_number": "317-743-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006275A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie L Monts
• Breeann Moore
• David K Moore, D.O
• Emily Jeanne Moore, RBT
• Mary Catherine Moore, M.S. CCC-SLP
• Rachel Anne Moore, BS, RBT
• Rebekah C Moore, CMT
• Mohamed H Morad, M.D.
• Brittani Morehead
• Elsy Beraly Moreno

• Clinical Social Worker in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.