Terrence Patrick Moore, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

31606 Issued in MD

Practice address

4500 Black Rock Rd Ste 103
Hampstead, MD 21074-2649

Phone

(877) 806-1501

NPI assigned

Sep 5, 2023

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1942086087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 SADDLEVIEW DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783853",
            "telephone_number": "240-477-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BLACK ROCK RD STE 103",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742649",
            "telephone_number": "877-806-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20410 Observation Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208766419",
            "country_code": "US",
            "telephone_number": "240-296-5862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TERRENCE",
        "middle_name": "PATRICK",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "31606",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Duston Mersinger, DDS
• Christina L Meyer, LMSW
• Vilija Mickute, DDS
• Elizabeth R Miller, RD, LDN
• MNR Industries LLC (ExpressCare of Hampstead)
• Therese Moran Conlon
• Robert Bradley Mountcastle, ATC
• Rebecca Ann Nash, NP
• Pamela Nazarov
• Olivia Nelson, LGPC

• Social Worker in Hampstead, MD
• Providers in Hampstead, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.