Individual provider Active NPI

Nannette C Moorer, LISW

  • Social Worker
  • Aiken, SC
National Provider Identifier
1982608915
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
003089 Issued in SC
Practice address
33 Varden Dr
Aiken, SC 29803-5285
Phone
(803) 642-3801
Fax
(803) 642-5538
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 003089 SC Primary

Addresses

Primary practice location

33 Varden Dr
Aiken, SC 29803-5285

Mailing address

33 Varden Dr
Aiken, SC 29803-5285
Phone (803) 642-3801

Other identifiers 1

IdentifierTypeStateIssuer
QM0732MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120328000300 SC Practitioner - Clinical Social Worker 0345400479 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003089SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Psychiatric and Psychotherapy Associates PA CurrentSince Jan 1, 1994 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jan 1, 2025 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Jan 1, 2025 Accepting new patients
Aiken Psychotherapy Past Accepting new patients

Locations

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

33 Varden Dr
Aiken, SC 29803
Phone (803) 642-3801

Organizations & group practices 4

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1982608915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 VARDEN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035285",
            "telephone_number": "803-642-3801",
            "fax_number": "803-642-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 VARDEN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035285",
            "telephone_number": "803-642-3801",
            "fax_number": "803-642-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORER",
        "first_name": "NANNETTE",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "003089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0732",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.