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MS. KIM ANN MOORE LCSW
NPI 1396139143
Social Worker - Clinical in Long Beach, CA

Active since March 18, 2015PECOS Enrolled
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806(562) 256-2981(562) 290-0031 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kim Ann Moore Lcsw NPPES

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

MS. KIM ANN MOORE LCSW (NPI 1396139143) is an individual clinical provider in Long Beach, California, licensed in California (LCSW86987) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1396139143
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIM ANN MOORECredential: LCSW
Location Address2600 REDONDO AVE FL 3Long Beach, CA 90806-2325
Mailing Address2600 Redondo Ave Fl 3Long Beach, CA 90806-2325 · (562) 256-2981 · Fax (562) 290-0031
Phone(562) 256-2981
Fax(562) 290-0031
Sole ProprietorYes
Enumeration DateMarch 18, 2015
Last NPPES UpdateJanuary 30, 2019
✔ NPI 1396139143 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 CA · LCSW86987
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.
2600 REDONDO AVE FL 3, Long Beach, CA 90806
Open in Google Maps ↗

Secondary Practice Location 1

Location 1405 W 5th St Fl 6Santa Ana, CA 92701-4599 · Phone (714) 834-3101 · Fax (714) 834-4445

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kim Ann Moore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
Same address
Mental Health (Including Community Mental Health Center)
2600 REDONDO AVE FL 6
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1114300365 (562) 256-7920

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

YESSENIA ESMERALDA AREVALO
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 259-2900
TRAYVONE WALLER ACSW MSW
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 599-9280
JEREMIAH DO RN
Registered Nurse (Psychiatric/Mental Health)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2900
CAROLINA ATANAZIO DOS SANTOS
Rehabilitation Counselor
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2900
ANTOINETTE HAMILTON
Community Health Worker
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 253-8525
JOHNNY MORATAYA LCSW
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2938
MS. GABRIELA ZUNIGA LCSW
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2900
MARIA RAMOS-LESTER
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (213) 663-2053

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 Kim Moore's NPI number?

The NPI number for Kim Moore is 1396139143. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Kim Moore located?

Kim Moore practices at 2600 Redondo Ave Fl 3, Long Beach, CA 90806. The listed phone number is (562) 256-2981.

What is Kim Moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim Moore enrolled in Medicare?

Yes. Kim Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Moore reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Long Beach, CA). 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 Kim 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 Kim Moore was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.