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DE'LISA G MOORE LSW
NPI 1346647047
Social Worker in Dayton, OH

Active since November 24, 2014PECOS Enrolled
601 S EDWIN C MOSES BLVD - 4TH FLOOR NW BLDG, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417(937) 734-8333(937) 734-4343 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About De'lisa G Moore Lsw NPPES

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

DE'LISA G MOORE LSW (NPI 1346647047) is an individual social worker in Dayton, Ohio, licensed in Ohio (S.1101626) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1987).

NPPES Registry Identity

NPI1346647047
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDE'LISA G MOORECredential: LSW
Location Address601 S EDWIN C MOSES BLVD - 4TH FLOOR NW BLDG, SAMARITAN BEHAVIORAL HEALTH, INC.Dayton, OH 45417-3424
Mailing Address601 S Edwin C Moses Blvd - 4th Floor Nw Bldg, Samaritan Behavioral Health, Inc.Dayton, OH 45417-3424 · (937) 734-8333 · Fax (937) 734-4343
Phone(937) 734-8333
Fax(937) 734-4343
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1987
Enumeration DateNovember 24, 2014
✔ NPI 1346647047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.1101626
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
601 S EDWIN C MOSES BLVD - 4TH FLOOR NW BLDG, Dayton, OH 45417
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De'lisa G Moore Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395135768
PECOS Enrollment IDI20211130000942
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.

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 De'lisa Moore's NPI number?

The NPI number for De'lisa Moore is 1346647047. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is De'lisa Moore located?

De'lisa Moore practices at 601 S Edwin C Moses Blvd - 4th Floor NW Bldg Samaritan Behavioral Health, Inc., Dayton, OH 45417. The listed phone number is (937) 734-8333.

What is De'lisa Moore's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is De'lisa Moore enrolled in Medicare?

Yes. De'lisa Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for De'lisa Moore was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.