Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. CAROLYN MERCEDES MOORE MSW, LCSW
NPI 1922699602
Social Worker - Clinical in Tampa, FL

Active since January 27, 2021PECOS EnrolledAccepts Medicare Assignment
4700 N HABANA AVE STE 703, TAMPA, FL 33614(941) 499-0463 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, May 14, 2025, Oct 13, 2022 and 2 more (5 updates tracked since 2021).

About Ms. Carolyn Mercedes Moore Msw, Lcsw NPPES

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

MS. CAROLYN MERCEDES MOORE MSW, LCSW (NPI 1922699602) is an individual clinical provider in Tampa, Florida, licensed in Florida (SW16965) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1922699602
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAROLYN MERCEDES MOORECredential: MSW, LCSW
Location Address4700 N HABANA AVE STE 703Tampa, FL 33614-7122
Mailing Address9481 Dowden Rd, Apt 5102Orlando, FL 32832 · (850) 450-3146
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 27, 2021
Last NPPES UpdateSeptember 22, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1922699602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW16965✔ Licensed in FL · 16965
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.
4700 N HABANA AVE STE 703, Tampa, FL 33614

Accepted 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

Ms. Carolyn Mercedes 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 ID3779991864
PECOS Enrollment IDI20210408001607
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 Reassignments

3

Medicare enrollment records show Carolyn Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
4700 N HABANA AVE STE 703
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Optum Behavioral Care Of North Carolina PC
  • 124 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
11120 S CROWN WAY STE 1
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group

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 33614 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 8

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

Social Worker (Clinical)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Social Worker (Clinical)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Social Worker (Clinical)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Dentist (Endodontics)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Counselor (Mental Health)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Counselor (Mental Health)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Social Worker (Clinical)
4700 N HABANA AVE STE 703
TAMPA, FL 33614
Nurse Practitioner (Psychiatric/Mental Health)
4700 N HABANA AVE STE 703
TAMPA, FL 33614

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 Carolyn Moore's NPI number?

The NPI number for Carolyn Moore is 1922699602. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Carolyn Moore located?

Carolyn Moore practices at 4700 N Habana Ave Ste 703, Tampa, FL 33614. The listed phone number is (941) 499-0463.

What is Carolyn Moore's specialty?

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

Is Carolyn Moore enrolled in Medicare?

Yes. Carolyn 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 organizations bill Medicare for Carolyn Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Moore reassigns Medicare benefits to 3 organizations: Optum Behavioral Care Of North Carolina, P.C. (Tampa, FL), Mcr Health, Inc. (Parrish, FL) and Cotler Healthcare & Development Inc. (Wellington, FL). Each 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 Carolyn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Moore accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Carolyn 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 Carolyn Moore was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.