Active NPI
Maura McGovern Moore, LCSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1952461444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005555
- Practice address
- 1707 Osage St
Ste 404
Alexandria, VA 22302-2611 - Phone
- (202) 431-0119
- Fax
- (540) 684-6184
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005555 | VA | Primary |
Addresses
Primary practice location
1707 Osage St
Ste 404
Alexandria, VA 22302-2611
Mailing address
PO Box 16733
Alexandria, VA 22302
Phone (202) 431-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110818000557 | DC | Practitioner - Clinical Social Worker | 9931379427 | Practice locations: Alexandria, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1707 Osage St
Suite 404
Alexandria, VA 22302-2611
Phone (202) 431-0119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904005555 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1952461444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16733",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22302",
"telephone_number": "202-431-0119",
"fax_number": "540-684-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 OSAGE ST",
"address_2": "STE 404",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022611",
"telephone_number": "202-431-0119",
"fax_number": "540-684-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MAURA",
"middle_name": "MCGOVERN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.