KAREN MOORE, LCSW NPI 1386269603

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Stuart, FL

NPI 1386269603 Organization Clinic/Center Mental Health (Including Community Menta...

About KAREN MOORE, LCSW

Karen Moore, Lcsw is a provider established in Stuart, Florida specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Karen Moore, Lcsw is 1386269603 and was assigned on June 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Karen Moore Lcsw, Ceds (Psychotherapist)

NPI

1386269603

Provider NameKAREN MOORE, LCSW
Provider Location Address900 SE OCEAN BLVD STE D232 STUART, FL 34994
Provider Mailing Address900 SE OCEAN BLVD STE D232 STUART, FL 34994
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-11-2020
Last Update Date10-05-2020


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

KAREN MOORE, LCSW
900 SE OCEAN BLVD STE D232
STUART, FL
ZIP 34994
Phone: (772) 212-2928

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Mailing Address

KAREN MOORE, LCSW
900 SE OCEAN BLVD STE D232
STUART, FL
ZIP 34994
Phone: (772) 212-2928



Authorized Official

Authorized Official Name KAREN MOORE LCSW, CEDS
Authorized Official TitlePSYCHOTHERAPIST
Authorized Official Phone(772) 212-2928

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
149765591OTHER (01)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497165591 KAREN MOORE LCSW, CEDS
Individual
Social Worker (Clinical)900 SE OCEAN BLVD STE D232
STUART, FL 34994
(772) 212-2928
1386294478 SAVANNAH FULFORD LMHC
Individual
Counselor (Mental Health)900 SE OCEAN BLVD STE D232
STUART, FL 34994
(772) 678-0271
1811540289PERSPECTIVES BEHAVIORAL HEALTH LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))900 SE OCEAN BLVD STE D232
STUART, FL 34994
(772) 882-8900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.