MR. JOHN PATRICK MOORE LICSW
NPI 1154332609
Social Worker - Clinical in Minneapolis, MN
About Mr. John Patrick Moore Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN PATRICK MOORE LICSW (NPI 1154332609) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (13225) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John Patrick Moore Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55417 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55417
MINNEAPOLIS, MN 55417
MINNEAPOLIS, MN 55417
MINNEAPOLIS, MN 55417
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 John Moore's NPI number?
The NPI number for John Moore is 1154332609. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is John Moore located?
John Moore practices at One Veterans Drive VA Medical Center (116a2/3), Minneapolis, MN 55417. The listed phone number is (612) 467-4783.
What is John Moore's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Moore enrolled in Medicare?
Yes. John Moore is registered in the Medicare PECOS enrollment system.
What insurance does John Moore accept?
Health plans from HealthPartners list John Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Mr. John Patrick Moore, LICSW · NPI 1154332609
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1154332609 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 13225 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** ONE VETERANS DRIVE, VA MEDICAL CENTER (116A2/3), Minneapolis, MN 55417
- **Phone:** (612) 467-4783 · **Fax:** (612) 467-5309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1154332609) · Data from the CMS NPPES public registry.