Stanley Gardner Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003581 Issued in NC

Practice address

9118 Park Grove St
Huntersville, NC 28078-5517

Phone

(704) 948-9344

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831241249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 PARK GROVE ST",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785517",
            "telephone_number": "704-948-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 PARK GROVE ST",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785517",
            "telephone_number": "704-948-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STANLEY",
        "middle_name": "GARDNER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106241",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli N Montanez, CPHT
• Caitlin Volchansky Moody, PA-C
• Sophia Grace Moody, NP
• Chrisalyn Moore
• Codi Moore
• Mooresville PPM LLC
• Karla Taina Morelli, SLP.D, CCC-SLP
• Amy Larissa Morris
• Melanie Marie Morris, LMBT
• Morrison Physical Therapy and Wellness

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, 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 Jul 9, 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.