Sandra Lynne Moore-Pope, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004094 Issued in GA

Practice address

2246 Shasta Way NE
Atlanta, GA 30345-2604

Phone

(404) 309-6397

Fax

(404) 471-1723

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1952609778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 SHASTA WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452604",
            "telephone_number": "404-309-6397",
            "fax_number": "404-471-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 SHASTA WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452604",
            "telephone_number": "404-309-6397",
            "fax_number": "404-471-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-POPE",
        "first_name": "SANDRA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004094",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "09130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642464-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra A Mooney, SLP
• Jan Thangam Mooney, PHD
• Melissa Mooney, CAA
• Sean Michael Mooney, MD
• Moore Consulting Counseling Group
• Aaron Moore
• Alexander George Moore, MD
• Alisa Moore, CPNP
• Alisa O Moore, D.D.S.
• Alison Moore, M.D

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.