MS. CARRIE E. MOORE (LICSW) – Social Worker, NPI 1922599455

MS. CARRIE E. MOORE (LICSW) is a healthcare provider. based in Dothan, Alabama. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 3877G (AL). The NPI Number for MS. CARRIE E. MOORE (LICSW) is 1922599455

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. CARRIE E. MOORE (LICSW)
NPI
1922599455
Phone
(334) 794-2113
Address
1450 ROSS CLARK CIR STE 3
Enumeration Date
21 May 2018
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563312700
Graduation Year
2015 (11 years ago)
PAC ID
9032570676
Group Practice PAC ID
3476878489
Professional Enrollment ID
I20230731001082
Address ID
AL356531969RU1522543XX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

390 CLINICAL SOCIAL WORKER in AL

Provider Addresses for MS. CARRIE E. MOORE (LICSW)

  • 1450 ROSS CLARK CIR STE 3

    DOTHAN, AL 363014736

    Phone: (334) 794-2113

    Fax: (334) 702-1220

    Type: Mailing

  • 600 SUN TEMPLE DR

    MADISON, AL 357588643

    Phone: (256) 975-4291

    Type: Location

  • 101, Medical Drive, Dothan, Houston County, Alabama, 36303, United States

    DOTHAN, AL 363036903

    Phone: (334) 702-7222

    Fax: (334) 702-1944

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230731001082IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes5826$0
90791Psychiatric diagnostic evaluation2323$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476878489View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Orthopedic SurgeryAL
Psychiatry, Geriatric PsychiatryAL
Hospice/Palliative Care, Geriatric MedicineTN
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. CARRIE E. MOORE (LICSW)'s NPI?
Yes. MS. CARRIE E. MOORE (LICSW) is listed with NPI 1922599455 in the public NPI dataset.
Can I rely on MS. CARRIE E. MOORE (LICSW) being an active provider?
As of the registry snapshot, MS. CARRIE E. MOORE (LICSW) is marked active.
What taxonomy line describes MS. CARRIE E. MOORE (LICSW)?
For research purposes, treat MS. CARRIE E. MOORE (LICSW) as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MS. CARRIE E. MOORE (LICSW) on a map?
Expect Dothan, Alabama as a primary anchor for MS. CARRIE E. MOORE (LICSW) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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