Individual provider Active NPI

Sherry Ann Moyer, MSW, LMSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1821382540
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q3-0010614 Issued in DE
Practice address
69 Willow PL
Newark, DE 19702-5802
Phone
(301) 992-4701
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q3-0010614 DE Primary

Addresses

Primary practice location

69 Willow PL
Newark, DE 19702-5802

Mailing address

69 Willow PL
Newark, DE 19702-5802
Phone (301) 992-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20250303001539 MD Practitioner - Clinical Social Worker 9436670817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q3-0010614DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Psychiatric Services LLC CurrentSince Jan 6, 2025 Accepting new patients
Advantage Psychiatric Services LLC Current Accepting new patients
Advantage Psychiatric Services LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

306 W Pulaski Hwy
Elkton, MD 21921
Phone 4106863629 ext. 417

910 Revolution St
Hvre de Grace, MD 21078
Phone (410) 919-9665

5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1821382540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WILLOW PL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025802",
            "telephone_number": "301-992-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WILLOW PL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025802",
            "telephone_number": "301-992-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q3-0010614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.