MS. PATRICIA MARIE MOORE LMSW, CASAC2
NPI 1053915538
Counselor - Addiction (Substance Use Disorder) in Middletown, NY

Q: What is Patricia Moore's NPI number?

The NPI number for Patricia Moore is 1053915538. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Q: What is Patricia Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Moore was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2020PECOS Enrolled

15 FORTUNE RD W, MIDDLETOWN, NY 10941(888) 750-2266 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2025, Jul 12, 2022, Nov 25, 2020 (3 updates tracked since 2020).

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About Ms. Patricia Marie Moore Lmsw, Casac2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PATRICIA MARIE MOORE LMSW, CASAC2 (NPI 1053915538) is an individual addiction (substance use disorder) provider in Middletown, New York and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1053915538

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. PATRICIA MARIE MOORECredential: LMSW, CASAC2

Location Address15 FORTUNE RD WMiddletown, NY 10941-1625

Mailing Address103 Lincoln CtMilford, PA 18337-4434 · (845) 421-1416

Phone(888) 750-2266

Sole ProprietorNo

Enumeration DateNovember 25, 2020

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1053915538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

15 FORTUNE RD W, Middletown, NY 10941

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Secondary Practice Location 1

Location 17 Railroad AveMiddletown, NY 10940-4907 · Phone (845) 342-5941 · Fax (845) 393-8011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Patricia Marie Moore Lmsw, Casac2 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE MARGARET MACKAY RN

Registered Nurse (Psychiatric/Mental Health)