Individual provider Active NPI

Michelle G. Moore, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1932481611
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17080 Issued in FL
Practice address
8102 N Boulevard
Tampa, FL 33604-2801
Phone
(609) 304-9229
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05411900 NJ
Clinical Social Worker 1041C0700X SW17080 FL Primary

Addresses

Primary practice location

8102 N Boulevard
Tampa, FL 33604-2801

Mailing address

8102 N Boulevard
Tampa, FL 33604-2801
Phone (609) 304-9229

Other identifiers 1

IdentifierTypeStateIssuer
12262602OtherNJCAQH

Other names 1

  • Michelle G. Finley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250625004386 FL Practitioner - Clinical Social Worker 5597932442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17080FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group Inc CurrentSince Sep 29, 2025 Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Sep 29, 2025 Accepting new patients

Locations

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1932481611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 N BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042801",
            "telephone_number": "609-304-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 N BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042801",
            "telephone_number": "609-304-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELLE",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05411900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12262602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FINLEY",
            "middle_name": "G.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.