Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. DORIS ANN MOORE-RUSSELL LCSW
NPI 1255321592
Social Worker - Clinical in Fayetteville, NC

Active since October 27, 2005
111 LAMON ST, SUITE 212, FAYETTEVILLE, NC 28301(910) 429-2222(910) 429-2222 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Doris Ann Moore-russell Lcsw NPPES

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

MRS. DORIS ANN MOORE-RUSSELL LCSW (NPI 1255321592) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C004369) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1255321592
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. DORIS ANN MOORE-RUSSELLCredential: LCSW
Location Address111 LAMON ST, SUITE 212Fayetteville, NC 28301-4957
Mailing Address6208 King Hiram RdHope Mills, NC 28348-9767 · (910) 429-0543 · Fax (910) 429-0543
Fax(910) 429-2222
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1255321592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C004369
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.

111 LAMON ST, Fayetteville, NC 28301

Other Identifiers 4

Other365036NC · Managed Health Network
Medicaid6002914NC
Other136AJNC · Bc/bs Of North Carolina
Other522556NC · Value Options

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Case Management
111 LAMON ST, SUITE 214
FAYETTEVILLE, NC 28301
Community Health Worker
111 LAMON ST, SUITE 218
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST
FAYETTEVILLE, NC 28301
Preferred Provider Organization
111 LAMON ST, SUITE 216
FAYETTEVILLE, NC 28301
In Home Supportive Care
111 LAMON ST
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST
FAYETTEVILLE, NC 28301
Counselor (Mental Health)
111 LAMON ST, SUITE 212
FAYETTEVILLE, NC 28301
Social Worker
111 LAMON ST, SUITE 212
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST, SUITE 212
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST, SUITE 110B
FAYETTEVILLE, NC 28301
Preferred Provider Organization
111 LAMON ST, SUITE 207
FAYETTEVILLE, NC 28301
Home Health
111 LAMON ST, SUITE 119
FAYETTEVILLE, NC 28301
Technician (Personal Care Attendant)
111 LAMON ST, SUITE 101
FAYETTEVILLE, NC 28301
Behavior Analyst
111 LAMON ST, 103
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
111 LAMON ST, 212
FAYETTEVILLE, NC 28301
Psychiatric Residential Treatment Facility
111 LAMON ST
FAYETTEVILLE, NC 28301
Case Management
111 LAMON ST
FAYETTEVILLE, NC 28301
Counselor (Addiction (Substance Use Disorder))
111 LAMON ST, SUITE 103
FAYETTEVILLE, NC 28301
Durable Medical Equipment & Medical Supplies
111 LAMON ST, SUITE 210
FAYETTEVILLE, NC 28301
Home Health Aide
111 LAMON ST
FAYETTEVILLE, NC 28301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255321592, enumerated as an "individual" on October 27, 2005.

The provider is located at 111 LAMON ST SUITE 212 FAYETTEVILLE, NC 28301 and the phone number is (910) 429-2222.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.