MS. PATRICIA MARIE MOORE LMSW, CASAC2
NPI 1053915538
Counselor - Addiction (Substance Use Disorder) in Middletown, NY
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, maintains a secondary practice location in Middletown, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Patricia Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10941
- Reassigned Medicare billing, New York enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MIDDLETOWN, NY 10941
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Patricia Moore located?
Patricia Moore practices at 15 Fortune Rd W, Middletown, NY 10941. The listed phone number is (888) 750-2266.
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.
Is Patricia Moore enrolled in Medicare?
Yes. Patricia Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patricia Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Moore reassigns Medicare benefits to Access: Supports For Living Inc (Middletown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 13 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.
# Ms. Patricia Marie Moore, LMSW, CASAC2 · NPI 1053915538
Addiction (Substance Use Disorder) provider in Middletown, New York. Individual provider, active in the CMS NPPES registry since November 25, 2020.
## Identity
- **NPI:** 1053915538 (Entity type: Individual)
- **Enumerated:** November 25, 2020
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 15 FORTUNE RD W, Middletown, NY 10941-1625
- **Phone:** (888) 750-2266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Access: Supports For Living Inc (NPI 1215122361, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053915538) · Data from the CMS NPPES public registry.