Devon Michelle Moore, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33005691A Issued in IN

Practice address

1530 S 18TH St
Lafayette, IN 47905-2010

Phone

(765) 418-6850

Fax

(765) 477-7806

NPI assigned

Feb 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trustees of Purdue University

  • Hearing and Speech Clinic/Center
  • West Lafayette, IN
  • NPI 1619055712
  Medicare reassignment NPD
• Trustees of Purdue University

  • Federally Qualified Health Center (FQHC)
  • Delphi, IN
  • NPI 1477549731
  NPD
• Trustees of Purdue University

  • Federally Qualified Health Center (FQHC)
  • Wolcott, IN
  • NPI 1598111791
  NPD
• Trustees of Purdue University

  • Federally Qualified Health Center (FQHC)
  • Burlington, IN
  • NPI 1295104669
  NPD (past)
• Trustees of Purdue University

  • Federally Qualified Health Center (FQHC)
  • Monon, IN
  • NPI 1871794826
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1982977336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S 18TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052010",
            "telephone_number": "765-418-6850",
            "fax_number": "765-477-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S 18TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052010",
            "telephone_number": "765-418-6850",
            "fax_number": "765-477-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEVON",
        "middle_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33005691A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Montgomery, ATC
• Joseph C Moody, MD
• Erica Moon
• Tori Mooney, RBT
• Debra Moore
• Jenna A Moore
• Meleah Moore
• Susan Moore
• Tyra N Moore, LMSW, LCSW
• Hollyann Marie Morales, CP

• Clinical Social Worker in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.