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KATRINA ROSE MOORE MSW, LCSW
NPI 1912567215
Social Worker - Clinical in Madison, WI

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
3324 MILWAUKEE ST, MADISON, WI 53714(608) 843-4604 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2025, Jun 30, 2025, Jun 18, 2019 (3 updates tracked since 2019).

About Katrina Rose Moore Msw, Lcsw NPPES

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

KATRINA ROSE MOORE MSW, LCSW (NPI 1912567215) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (131530121) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Reedsburg, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912567215
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATRINA ROSE MOORECredential: MSW, LCSW
Location Address3324 MILWAUKEE STMadison, WI 53714-1866
Mailing Address17 Harding StMadison, WI 53714-2218
Phone(608) 843-4604
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1912567215 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 WI · 131530121
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.
3324 MILWAUKEE ST, Madison, WI 53714
Open in Google Maps ↗

Secondary Practice Location 1

Location 12155 E Main StReedsburg, WI 53959-9440 · Phone (608) 415-9956

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katrina Rose Moore Msw, Lcsw 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 ID5092253724
PECOS Enrollment IDI20240813003059
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.

Medicare Billing Reassignment

Medicare enrollment records show Katrina Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avandra Mental Wellness LLC
0.3 mi
Clinical
3010 UNION ST
Madison, WI 53714
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1336922558 (269) 762-2421

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53714 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 2

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

TORI RAE BARTKOWIAK MSW, LCSW
Social Worker (Clinical)
3324 MILWAUKEE ST
MADISON, WI 53714
Dane County (608) 495-7444
BIANCA WHITNEY MSW
Social Worker (Clinical)
3324 MILWAUKEE ST
MADISON, WI 53714
Dane County (269) 762-2421

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 Katrina Moore's NPI number?

The NPI number for Katrina Moore is 1912567215. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Katrina Moore located?

Katrina Moore practices at 3324 Milwaukee St, Madison, WI 53714. The listed phone number is (608) 843-4604.

What is Katrina Moore's specialty?

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

Is Katrina Moore enrolled in Medicare?

Yes. Katrina 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.

Which organization bills Medicare for Katrina Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Moore reassigns Medicare benefits to Avandra Mental Wellness LLC (Madison, WI). The 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 Katrina Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrina Moore accept?

Health plans from Dean Health Plan and Quartz list Katrina 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 Katrina Moore was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.