Edith G Moorcones

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003899 Issued in VA

Practice address

760 Pilot House Dr Ste E
Newport News, VA 23606-2068

Phone

(757) 595-3455

Fax

(757) 595-3456

NPI assigned

Sep 20, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Black Pine Counseling CenterGroup PAC ID 0345592226, 7 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.

• Black Pine Counseling Center

  dba Black Pine Counseling

  • Professional Counselor
  • Newport News, VA
  • NPI 1578014395
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1891418307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PILOT HOUSE DR STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062068",
            "telephone_number": "757-595-3455",
            "fax_number": "757-595-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PILOT HOUSE DR STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062068",
            "telephone_number": "757-595-3455",
            "fax_number": "757-595-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORCONES",
        "first_name": "EDITH",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "0904003899",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@blackpinecounseling.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "760 Pilot House Dr Ste E",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236062068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hadley E Monteith, DPT
• Elyssa Monet Montoya
• James Hyunjong Moon, DDS
• Tae Min Moon, DO
• Stephanie Mooney, MS, ATC
• Audrey Durand Moore, LPC
• Charlotte A Moore, DO
• Chewanda Renee Moore, LPC
• Clayton Moore, DO, PHARM.D, PA-C
• Jeffrey D Moore, MD

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.