Individual provider Active NPI

Molly Moore, LCSW

  • Clinical Social Worker
  • Magnolia, DE
National Provider Identifier
1922867852
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001772 Issued in DE
Practice address
91 Esker Cir
Magnolia, DE 19962-3645
Phone
(302) 632-4453
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001772 DE Primary

Addresses

Primary practice location

91 Esker Cir
Magnolia, DE 19962-3645

Mailing address

91 Esker Cir
Magnolia, DE 19962-3645
Phone (302) 632-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20240614002151 DE Practitioner - Clinical Social Worker 7416490727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Treatment Network LLCGroup PAC ID 8820402993, 11 clinicians

Practice addresses (Care Compare)

1206 Forrest Ave
Dover, DE 19904-3311
Phone (877) 286-5115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atn Physicians & Associates LLC CurrentSince Apr 29, 2024 Accepting new patients
American Treatment Network LLC CurrentSince Apr 29, 2024 Accepting new patients
Beyond Speech Therapy, LLC Past Accepting new patients

Locations

1206 Forrest Ave
Dover, DE 19904
Phone (877) 286-5115

1120 W Township Line Rd
Ste 200
Havertown, PA 19083
Phone (484) 451-8313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1922867852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 ESKER CIR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623645",
            "telephone_number": "302-632-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ESKER CIR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623645",
            "telephone_number": "302-632-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, DE

Sources for this page

Verify at the official NPI Registry.