Individual provider Active NPI

Sue B Moultrie, LCSW

  • Clinical Social Worker
  • Albertville, AL
National Provider Identifier
1992715668
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1447C Issued in AL
Practice address
123 Sand Mountain Dr NW
Albertville, AL 35950-1647
Phone
(256) 878-3809
Fax
(256) 878-8022
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1447C AL Primary

Addresses

Primary practice location

123 Sand Mountain Dr NW
Albertville, AL 35950-1647

Mailing address

123 Sand Mountain Dr., NW
Albertville, AL 35950-0859
Phone (256) 878-3809

Other identifiers 3

IdentifierTypeStateIssuer
051532527OtherALBCBS
051551556MedicaidAL
631250107003OtherALTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1447CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yhap Psychiatric Services, Inc Past Accepting new patients
North Alabama Counseling Center Inc Past Accepting new patients

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1992715668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SAND MOUNTAIN DR., NW",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500859",
            "telephone_number": "256-878-3809",
            "fax_number": "256-878-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SAND MOUNTAIN DR NW",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501647",
            "telephone_number": "256-878-3809",
            "fax_number": "256-878-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTRIE",
        "first_name": "SUE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1447C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051532527",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551556",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "631250107003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.