STUART MOORE LLC (NPI# 1417440397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417440397 |
| Entity Type | Organization |
| Organization Name | STUART MOORE LLC |
| Other Organization Name | STUART MOORE LLC |
| Practice Address |
12050 S Lakes Dr Reston VA 20191-1220 |
| Practice Telephone | 7033860050 |
| Mailing Telephone | 7033860050 |
| Mailing Fax Number | 7034766013 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | MR. STUART COLEMAN MOORE (OWNER) |
| Authorized Official Telephone | 7033860050 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904003326 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1346318763 | 01 |
| Other Name | Type Code |
|---|---|
| Stuart Moore LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8101 Hinson Farm Rd Ste 117, Alexandria, VA 223063404 | 7033860050 | 7034766013 |
| Street Address |
12050 S LAKES DR |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441624 | Joyce H. Souk | Social Worker | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2006-01-16 |
| 1831520519 | Maria A. Hylton, Lcsw, LLC | Social Worker | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2013-12-06 |
| 1366685646 | Barbara L. Dodd | Social Worker | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2009-04-15 |
| 1255573556 | Maria Antoinette Hylton | Social Worker | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2009-04-01 |
| 1679728414 | C2 Associates, Inc. | Clinic/Center | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2008-11-20 |
| 1194978395 | Pamela B Light | Social Worker | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2008-10-31 |
| 1598932402 | Nancy A. Linton | Counselor | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2008-05-09 |
| 1962549634 | Janet Holton | Social Worker | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2007-01-31 |
| 1083751770 | Philip I. Haber, Ltd. | Counselor | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2007-01-31 |
| 1497892269 | Philip I Haber | Counselor | 12050 S Lakes Dr, Reston, VA 20191-1220 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409075 | Alicea Ardito | Social Worker | 11611 Hunters Green Ct, Reston, VA 20191-3505 | 2020-05-21 |
| 1841822541 | Shayna Sargent | Social Worker | 1783 Jonathan Way Unit J, Reston, VA 20190-3515 | 2020-02-10 |
| 1912321647 | Catherine Cairo Patrick | Social Worker | 11594 Lake Newport Rd, Reston, VA 20194-1210 | 2014-02-17 |
| 1265770283 | Arlene Butler | Social Worker | 11910 Sloane Ct, Reston, VA 20191-2726 | 2013-01-25 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1316142433 | Gabriela Marquez Canale | Social Worker | 11336 Orchard Ln, Reston, VA 20190-4430 | 2007-06-19 |
| 1457560542 | Elaine Marie Shaver | Social Worker | 11333 Sunset Hils Rd, Reston, VA 20190-5205 | 2007-05-22 |
| 1780890582 | Robert David Caldwell Iv | Social Worker | 1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 | 2007-05-16 |
| 1942412960 | Susan Holyoke Johnston | Social Worker | 11428 Waterview Cluster, Reston, VA 20190-4313 | 2007-05-03 |
| 1811016835 | Cynthia L Lowenthal | Social Worker | 11363 Sunset Hills Road, Reston, VA 20190-5205 | 2007-03-29 |
| Find all providers in RESTON | ||||
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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.