KIMBERLY MICHELLE MOORE


Address: 301 Mccullough Dr, Charlotte, NC 28262-3310
Phone: 7048906855

KIMBERLY MICHELLE MOORE (NPI# 1710119813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710119813
Entity Type Individual
Full Name KIMBERLY MICHELLE MOORE
Credential MSW, LCSW
Practice Address 301 Mccullough Dr
Charlotte
NC 28262-3310
Mailing Address Po Box 42037
Charlotte
NC 28215-0001
Practice Telephone 7048906855
Mailing Telephone 7048906855
Enumeration Date 2009-08-22
Last Update Date 2010-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C006901 NC Behavioral Health & Social Service Providers

Other Providers KIMBERLY MOORE

NPI Name Taxonomy Address Enumeration
1013518661 Kimberly Sue Moore Nurse Practitioner 1196 Sardis Rd, Mount Olivet, KY 41064-7580 2020-11-02
1528668878 Kimberly Dawn Moore Technician 1211 Chapps Fork Rd, Charleston, WV 25312-7702 2020-10-27
1487117966 Kimberly Dawn Moore Counselor 6315 Aylesworth Ave, Lincoln, NE 68505-1276 2019-04-10
1679051981 Kimberly Ann Moore Social Worker 1 Richmond Sq Ste 333, Providence, RI 02906-5139 2018-07-31
1003352501 Kimberly Ann Moore Pharmacist 174 Dapplegray Rd, Bell Canyon, CA 91307-1011 2017-01-09
1336596790 Kimberly Moore Counselor 117 W 130th St, New York, NY 10027-2007 2016-05-16
1013300953 Kimberly Moore Occupational Therapist 217 Bainbridge Cir, Muscle Shoals, AL 35661-4320 2015-03-17
1710390521 Kimberly Moore Speech-Language Pathologist 660 Barnett Shoals Rd Apt 211, Athens, GA 30605-7613 2014-06-09
1841568706 Kimberly Ann Moore Physical Therapy Assistant 1109 W 21st St, Lawrence, KS 66046-2831 2011-12-07
1710265368 Kimberly Dawn Moore Nurse Practitioner 814 South 3rd Street, Minneapolis, MN 55415 2011-08-01

Office Location

Street Address 301 MCCULLOUGH DR
City CHARLOTTE
State NC
Zip Code 28262-3310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326107681 Alischa Iescha Rodgers Counselor 301 Mccullough Dr, 4th Floor, Charlotte, NC 28262-3310 2006-12-06
1295332260 Lakesha Nance Nurse's Aide 301 Mccullough Dr, Charlotte, NC 28262-3310 2020-10-02
1144794637 Bhwc LLC Assistant Behavior Analyst 301 Mccullough Dr, Charlotte, NC 28262-3310 2019-01-17
1447786918 Charisse Byron Social Worker 301 Mccullough Dr, Charlotte, NC 28262-3310 2017-05-03
1366997991 Healing Pathways Psychotherapy Marriage & Family Therapist 301 Mccullough Dr, Suite 400, Charlotte, NC 28262-3310 2016-08-24
1033597026 Simplified Health Services, Pllc Home Infusion 301 Mccullough Dr, Suite 400, Charlotte, NC 28262-3310 2015-05-11
1780070466 Pathfinder Medical Group Preventive Medicine 301 Mccullough Dr, Suite 400, Charlotte, NC 28262-3310 2015-04-09
1417350562 Barnwell Enterprises, LLC In Home Supportive Care 301 Mccullough Dr, 4th Floor, Charlotte, NC 28262-3310 2014-10-03
1891134482 Karen Thomas Nurse's Aide 301 Mccullough Dr, 4th Floor, Charlotte, NC 28262-3310 2013-06-18
1376883819 Champion Healthcare Services Community/Behavioral Health 301 Mccullough Dr, Suite 418, Charlotte, NC 28262-3310 2013-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366056913 Aleta Michelle Johnson Specialist 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 2020-09-01
1275161580 Londyn Homecare Agency L.l.c Home Health 1914j.n. Place, Charlotte, NC 28262 2020-03-31
1154964914 Abundant Love Home Care Service LLC In Home Supportive Care 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 2019-10-24
1104399070 Nattya S Pilgreen Prosthetist 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 2019-01-03
1114404506 Laura Ida Anthony-getant Social Worker 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 2018-07-27
1720573587 Carolinas Center for Ambulatory Dentistry LLC Dentist 8415 Medical Plaza Drice, Charlotte, NC 28262 2018-06-25
1598254799 Cassandra Faye Harding Nurse Practitioner 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 2018-05-03
1669960746 Michael Riley In Home Supportive Care 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 2018-04-25
1568989804 Bridget Coomber Behavior Technician 8420 University Executive Dr Ste 810, Charlotte, NC 28262 2017-08-28
1073037701 Toshana Daley Physical Therapist 8801 Jm Keynes Blvd, Charlotte, NC 28262 2017-08-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224727 Kwanza Suzanne Winn Social Worker 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 2020-10-30
1164022570 Directional Care Community Services LLC. Social Worker 6220 Sid Crane Dr, Charlotte, NC 28216-7684 2020-10-27
1710586698 Queen City Psychotherapy Pllc Social Worker 100 Matador Ln Apt 403, Charlotte, NC 28209-3364 2020-10-21
1609474915 Karen Doris Myers Social Worker 2503 Roswell Ave Unit 301, Charlotte, NC 28209-1683 2020-10-09
1750997540 Patricia Mckinney Social Worker 4922 Albemarle Rd Ste 3a, Charlotte, NC 28205-6618 2020-09-17
1487260493 Sarah Mcgeachy Greene Social Worker 1332 Morningside Dr., Charlotte, NC 28205 2020-09-16
1700499753 Kelsey Dawn Miller Social Worker 3635 Manor House Dr, Charlotte, NC 28270-2291 2020-08-28
1104437847 Delilah Mcdonald Social Worker 9812 Aviary Hill Way, Charlotte, NC 28214-7138 2020-08-15
1972114148 Camari Claiborne-scott Social Worker 14026 Dingess Rd, Charlotte, NC 28273-3285 2020-08-12
1366050239 Jacquelyne Aida Tingey Social Worker 5950 Fairview Rd Ste 660, Charlotte, NC 28210-3113 2020-07-16
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Competitor

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City CHARLOTTE
Zip Code 28262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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