CARLY MOORE (NPI# 1043687122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043687122 |
| Entity Type | Individual |
| Full Name | CARLY MOORE |
| Practice Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6199064623 |
| Mailing Telephone | 6199064623 |
| Mailing Fax Number | 6199064564 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 62871 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606326 | Carly Catherine Moore | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2019-09-04 |
| 1679034037 | Carly Moore | Behavior Technician | 3766 Us Highway 17 Ste 301, Richmond Hill, GA 31324 | 2019-03-28 |
| 1023597598 | Carly R Moore | Emergency Medicine | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2018-08-07 |
| Street Address |
823 GATEWAY CENTER WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863968 | Johanna Green-jacob | Nurse Practitioner | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2005-10-03 |
| 1376104570 | Joyce Catherine Neville | Speech-Language Pathologist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-06-27 |
| 1508426529 | Fatimah Nadimi | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-06-20 |
| 1700440781 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1619531696 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1952863631 | Danielle Julia Sills | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-02 |
| 1275098626 | Maria Josefa Dorronsoro | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-02-08 |
| 1104397934 | Lakiesha Maria Wilks | Social Worker | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-12-05 |
| 1366911901 | Leticia Isabel Rico-raya | Marriage & Family Therapist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-11-13 |
| 1871061812 | Carmen Elia Suarez | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089868 | Kimberly J Hansen Anderson | Social Worker | 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 | 2020-09-30 |
| 1184189532 | Barbara Arriaga | Social Worker | 591 Camino De La Reina Ste 810, San Diego, CA 92108-3150 | 2019-02-08 |
| 1942672126 | Gretchen Penner | Social Worker | 2121 5th Ave Ste 214, San Diego, CA 92101-2139 | 2015-10-27 |
| 1821465105 | Kimberly Brownell | Social Worker | 969 Market St, Suite 503, San Diego, CA 92101-7209 | 2015-08-21 |
| 1689059545 | Stephanie Suggs | Social Worker | 3789 1/2 3rd Ave, San Diego, CA 92103-4102 | 2015-07-21 |
| 1659751667 | Adrianne Domingo | Social Worker | 8345 Kern Cres, San Diego, CA 92127-4111 | 2015-06-04 |
| 1205245917 | Devon Boone | Social Worker | 3427 4th Ave Fl 2, San Diego, CA 92103-4910 | 2014-08-06 |
| 1215363957 | Ellen B. Crowley | Social Worker | 5500 Overland Ave, Suite 430, San Diego, CA 92123-1202 | 2013-09-25 |
| 1134475072 | Kerri Zuba Kelly | Social Worker | 5560 Overland Ave, San Diego, CA 92123-1204 | 2012-07-30 |
| 1821365578 | Lindsay Artemisia Almanza | Social Worker | 3930 4th Ave Ste 300, San Diego, CA 92103-3119 | 2011-11-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.