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BRENDANMOOR THERAPY LLC
NPI 1831916162
Social Worker - Clinical in Philadelphia, PA

Active since September 26, 2024
451 ROXBOROUGH AVE, PHILADELPHIA, PA 19128(267) 258-1027 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2025, Sep 26, 2024 (2 updates tracked since 2024).

About Brendanmoor Therapy Llc NPPES

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

BRENDANMOOR THERAPY LLC (NPI 1831916162) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since September 2024. The organization lists Derik Brendan Moore, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1831916162
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRENDANMOOR THERAPY LLC
Location Address451 ROXBOROUGH AVEPhiladelphia, PA 19128-3536
Mailing Address451 Roxborough AvePhiladelphia, PA 19128-3536 · (267) 258-1027
Phone(267) 258-1027
Organization SubpartNo
Authorized OfficialDerik Brendan MooreOwner/psychotherapist · (267) 258-1027
Enumeration DateSeptember 26, 2024
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1831916162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
451 ROXBOROUGH AVE, Philadelphia, PA 19128
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendanmoor Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brendanmoor Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derik Moore
Clinical Social Worker
NPI 1528490877
230 S BROAD ST STE 1903
Philadelphia, PA 19102
(267) 258-1027
✔ PECOS6.1 mi

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

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 Brendanmoor Therapy LLC's NPI number?

The NPI number for Brendanmoor Therapy LLC is 1831916162. It was assigned to this organization in the NPPES registry on September 26, 2024.

Where is Brendanmoor Therapy LLC located?

Brendanmoor Therapy LLC is located at 451 Roxborough Ave, Philadelphia, PA 19128. The listed phone number is (267) 258-1027.

What is Brendanmoor Therapy LLC's specialty?

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

Is Brendanmoor Therapy LLC enrolled in Medicare?

Yes. Brendanmoor Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brendanmoor Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Brendanmoor Therapy LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brendanmoor Therapy LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.