Catherine Escobar Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW89620 Issued in CA

Practice address

31871 La Subida Dr
Trabuco Canyon, CA 92679-3404

Phone

(562) 387-6048

NPI assigned

Mar 30, 2021

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Blue Psychological ServicesGroup PAC ID 3678908357, 23 clinicians

Practice addresses (Care Compare)

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.

• Pacific Blue Psychological Services

  • Psychologist
  • Sherman Oaks, CA
  • NPI 1124678719
  Medicare reassignment Care Compare group NPD
• Taylormade Counseling & Consulting, LLC

  • Mental Health Counselor
  • Wildomar, CA
  • NPI 1801486048
  Medicare reassignment NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1871171033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31871 LA SUBIDA DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793404",
            "telephone_number": "562-387-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31871 LA SUBIDA DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793404",
            "telephone_number": "562-387-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CATHERINE",
        "middle_name": "ESCOBAR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shebli Mehrazarin, DDS, PHD
• Monique Olivia Menchaca, RADT
• Annalee Mendoza
• Ashley Miller, RADT
• Molly Veronica Minikey
• MTM Pharmacist Solutions, Inc
• Evian Mustafa
• Howard M Nakamura, D.D.S.,M.S.
• Claire Amelia New-Duval, RADT
• Glenn Noel Niegas, D.O.

• Clinical Social Worker in Trabuco Canyon, CA
• Providers in Trabuco Canyon, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.