Carrie E. Moore, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3877G Issued in AL

Practice address

1450 Ross Clark Cir Ste 3
Dothan, AL 36301-4736

Phone

(334) 794-2113

Fax

(334) 702-1220

NPI assigned

May 21, 2018

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 names 1

• Carrie Ellen Baggett Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Russellville Hospital Inc.Group PAC ID 3476878489, shared by 6 NPIs, 66 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.

• Thrive Trauma-Informed Care, LLC

  • Mental Health Counselor
  • Dothan, AL
  • NPI 1871466029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1922599455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014736",
            "telephone_number": "334-794-2113",
            "fax_number": "334-702-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014736",
            "telephone_number": "334-794-2113",
            "fax_number": "334-702-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CARRIE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "3877G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BAGGETT",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Shere' Montgomery, PMHNP-BC
• Hillary Ivey Montijo
• Moore Chiropractic Clinic P.C.
• Allison D Moore, CRNP
• Cameron Jordan Moore
• Donald F. Moore, D.C.
• John P. Moore Jr., M.D.
• Judson B. Moore, M.D.
• Morgan Ashley Moore, RDN
• Alishia Christine Moran, PHYSICIAN ASSISTANT

• Social Worker in Dothan, AL
• Providers in Dothan, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.