Gertrude Olivia Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW27185 Issued in FL

Practice address

922 Highway 81 E Ste 438
McDonough, GA 30252-2978

Phone

(850) 420-8479

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1992520563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 81 E STE 438",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522978",
            "telephone_number": "850-420-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 81 E STE 438",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522978",
            "telephone_number": "850-420-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GERTRUDE",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW27185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mommie and Me Advocacy
• Philomise Moncion, M.D.
• Monica H Wichner DO
• Kimberly Monroe
• Alaina Moore
• Melanie Moore, DNA PHLEBOTOMIST
• Nathaniel J Moore
• Sydney Moore, MCD, CCC-SLP
• Kayla Marie Morgan
• Patrice Morgan, RN

• Clinical Social Worker in McDonough, GA
• Providers in McDonough, 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 Sep 2, 2026; 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.