JEREMY MOORE
NPI 1528419736
Social Worker - Clinical in Durham, NC

Q: What is Jeremy Moore's NPI number?

The NPI number for Jeremy Moore is 1528419736. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Jeremy Moore's specialty?

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

Q: Is Jeremy Moore enrolled in Medicare?

No. Jeremy Moore has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Moore was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 29, 2016Opted out of Medicare · through Jun 17, 2028

2009 CHAPEL HILL RD, DURHAM, NC 27707(919) 276-4255 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, Jun 29, 2016 (2 updates tracked since 2016).

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About Jeremy Moore NPPES

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

JEREMY MOORE (NPI 1528419736) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C010415) and active in the NPI registry since June 2016. He has opted out of Medicare through June 17, 2028.

NPPES Registry Identity

NPI1528419736

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEREMY MOORE

Location Address2009 CHAPEL HILL RDDurham, NC 27707-1109

Mailing Address2009 Chapel Hill RdDurham, NC 27707-1109

Phone(919) 276-4255

Sole ProprietorYes

Enumeration DateJune 29, 2016

Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1528419736 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 · C010415

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.

2009 CHAPEL HILL RD, Durham, NC 27707

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeremy Moore has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2024 through June 17, 2028.

Opt-Out Effective DateJune 17, 2024

Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON CLARK LCMHC

Counselor (Professional)