Imelda Eileen Pahlas Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS26204 Issued in CA

Practice address

8325 Boron Way
Sacramento, CA 95828

Phone

(916) 612-5832

NPI assigned

Apr 18, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1902196405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 BORON WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95828",
            "telephone_number": "916-612-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 BORON WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95828",
            "telephone_number": "916-612-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLAS MOORE",
        "first_name": "IMELDA",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Noble Page, MD
• Sylvia Page
• Kristian Janene Pagliassotto, P.T.
• Louis Pagnone, DO
• Joelle Pahkim
• Babak Pahlavan, DMD
• Nima Pahlavan, MD
• Avita K Pahwa, MD
• David Pai, MD
• Cassidy Kensington Paige

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, 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 Apr 18, 2011; 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.