Carla Lewis-Moore, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085243 Issued in MI

Practice address

25245 5 Mile Rd Ste 600
Redford, MI 48239-3785

Phone

(313) 506-3322

NPI assigned

Mar 9, 2009

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 MI

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Prophetic Solutions Professional Counseling, PLLC

  • Community/Behavioral Health Agency
  • Redford, MI
  • NPI 1689078610
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1912148792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25245 5 MILE RD STE 600",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393785",
            "telephone_number": "734-612-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25245 5 MILE RD STE 600",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393785",
            "telephone_number": "313-506-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-MOORE",
        "first_name": "CARLA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lerman, CMT
• Jamie Rachel Lesson
• Elliesha Lester
• Elaine Michele Levenson, MA
• Wendy Levine, MA, LLPC
• Elizabeth Anne Lewis
• Kienda Lewis, RN
• Shaquilliea Lewis
• Tiffany Lewis
• Andrea Lige, NP-C

• Clinical Social Worker in Redford, MI
• Providers in Redford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.