Patience Moore, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05641900 Issued in NJ

Legal business name

PATIENCE MOORE, LCSW, LLC

Practice address

460 Bloomfield Ave Ste 306
Montclair, NJ 07042-3552

Phone

(973) 907-4755

NPI assigned

Jul 16, 2018

Last updated

Jul 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patience Moore, LCSWNPI 1891168670

Title

Founder

Phone

(973) 907-4755

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patience Moore, LCSW

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1891168670
  NPD (past) Authorized official

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1841776697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE STE 306",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423552",
            "telephone_number": "973-907-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE STE 306",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423552",
            "telephone_number": "973-907-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENCE MOORE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "973-907-4755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05641900",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05641900",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05411900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lydia Ann Patrick-Deluca, MSN RN APN-C
• Regina Patrick
• Caitlyn Pawlek

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.