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NICOLE YU-LANG GOSTANIAN MOORE
NPI 1669181012
Social Worker - Clinical in Manchester, CT

Active since November 15, 2022PECOS Enrolled
317 N MAIN ST, MANCHESTER, CT 06042(860) 643-2101 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Yu-lang Gostanian Moore NPPES

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

NICOLE YU-LANG GOSTANIAN MOORE (NPI 1669181012) is an individual clinical provider in Manchester, Connecticut, licensed in Connecticut (6517) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669181012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE YU-LANG GOSTANIAN MOORE
Location Address317 N MAIN STManchester, CT 06042-2007
Mailing Address317 N Main StManchester, CT 06042-2007 · (860) 643-2101
Phone(860) 643-2101
Sole ProprietorNo
Enumeration DateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1669181012 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 CT · 6517
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.
317 N MAIN ST, Manchester, CT 06042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Yu-lang Gostanian Moore 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06042 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

ILAYA L. VELAZQUEZ
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101
MARGUERITE E AMODEO LCSW
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101
JOCELYN FLORES LCSW
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101
DR. DENISE WILLIAMS COLEY PSY.D.
Psychologist (Clinical Child & Adolescent)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101
KRISTIANA MOLIKO LMSW
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101
ALYSSA BARANDON LPCA
Counselor (Mental Health)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101
KATHARINE MARIE USTORF
Counselor (Professional)
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 595-6508
MRS. DONNA FRANCISCO CULLEN LMFT
Marriage & Family Therapist
317 N MAIN ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 643-2101

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 Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1669181012. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Nicole Moore located?

Nicole Moore practices at 317 N Main St, Manchester, CT 06042. The listed phone number is (860) 643-2101.

What is Nicole Moore's specialty?

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

Is Nicole Moore enrolled in Medicare?

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

What insurance does Nicole Moore accept?

Health plans from Providence Health Plan list Nicole Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.