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STEPHANIKE MOORE LCSW-C
NPI 1629679352
Social Worker - Clinical in Baltimore, MD

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment
3771 RAVENWOOD AVE, BALTIMORE, MD 21213(443) 801-7380 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanike Moore Lcsw-c NPPES

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

STEPHANIKE MOORE LCSW-C (NPI 1629679352) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (22709) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629679352
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIKE MOORECredential: LCSW-C
Location Address3771 RAVENWOOD AVEBaltimore, MD 21213-2021
Mailing Address3771 Ravenwood AveBaltimore, MD 21213-2021 · (443) 801-7380
Phone(443) 801-7380
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1629679352 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 MD · 22709
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.
3771 RAVENWOOD AVE, Baltimore, MD 21213
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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 and accepts Medicare assignment

Stephanike Moore Lcsw-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951876952
PECOS Enrollment IDI20260407003317
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21213 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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

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

THE CONSCIOUS LIFE, LLC
Social Worker (Clinical)
3771 RAVENWOOD AVE
BALTIMORE, MD 21213
Baltimore City (443) 801-7380

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 Stephanike Moore's NPI number?

The NPI number for Stephanike Moore is 1629679352. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Stephanike Moore located?

Stephanike Moore practices at 3771 Ravenwood Ave, Baltimore, MD 21213. The listed phone number is (443) 801-7380.

What is Stephanike Moore's specialty?

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

Is Stephanike Moore enrolled in Medicare?

Yes. Stephanike Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanike Moore was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.