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TABATHA EVA MOORE
NPI 1639696115
Social Worker - Clinical in Raleigh, NC

Active since August 25, 2017PECOS Enrolled
1100 LOGGER CT APT D, RALEIGH, NC 27609(919) 844-7770(919) 844-7771 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2020, Aug 25, 2017 (2 updates tracked since 2017).

About Tabatha Eva Moore NPPES

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

TABATHA EVA MOORE (NPI 1639696115) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P014337) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639696115
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTABATHA EVA MOORE
Location Address1100 LOGGER CT APT DRaleigh, NC 27609-8525
Mailing Address1100 Logger CtRaleigh, NC 27609-8525 · (919) 844-7770 · Fax (919) 844-7771
Phone(919) 844-7770
Fax(919) 844-7771
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 25, 2017
Last NPPES UpdateApril 13, 20202 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
✔ NPI 1639696115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P014337
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCAS-2896 (NC)
1100 LOGGER CT APT D, Raleigh, NC 27609
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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)

Tabatha Eva Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820399488
PECOS Enrollment IDI20260219003499
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 27609 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Tabatha Moore's NPI number?

The NPI number for Tabatha Moore is 1639696115. It was assigned to this individual provider in the NPPES registry on August 25, 2017.

Where is Tabatha Moore located?

Tabatha Moore practices at 1100 Logger Ct Apt D, Raleigh, NC 27609. The listed phone number is (919) 844-7770.

What is Tabatha Moore's specialty?

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

Is Tabatha Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tabatha Moore was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.