NANCY MOORE (L I C S W) – Clinical Social Worker, NPI 1417971656

NANCY MOORE (L I C S W) is a healthcare provider. based in Marion, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L I C S W. They hold a License No. 1021424 (MA). The NPI Number for NANCY MOORE (L I C S W) is 1417971656

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
NANCY MOORE (L I C S W)
NPI
1417971656
Phone
(508) 748-2331
Address
34 BULLIVANT FARM RD
Enumeration Date
27 July 2006
Last Update Date
16 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086979722
Graduation Year
1990 (36 years ago)
PAC ID
8820026305
Professional Enrollment ID
I20050727000654
Address ID
MA023241455BR63XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for NANCY MOORE (L I C S W)

  • 34, Bullivant Farm Road, Marion, Plymouth County, Massachusetts, 02738, United States

    MARION, MA 027381150

    Phone: (508) 748-2331

    Type: Mailing

  • 63, Main Street, Stanley, Bridgewater, Plymouth County, Massachusetts, 02325, United States

    BRIDGEWATER, MA 023241455

    Phone: (508) 697-9722

    Fax: (508) 279-0094

    Type: Location

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: 2005-07-27

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
I20050727000654IClinical Social WorkerMATBD

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
90837Psychotherapy, 1 hour25420$0
View full utilization report →

Insurance plans in this area (ZIP 02738)

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Reviews

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Frequently asked questions

Does NANCY MOORE (L I C S W) have a public NPI I can cite?
Public records show NANCY MOORE (L I C S W) under NPI 1417971656.
Is NANCY MOORE (L I C S W)'s NPI status active today?
Active status means NANCY MOORE (L I C S W)'s NPI record is not deactivated in the public file.
How should patients interpret NANCY MOORE (L I C S W)'s specialty?
The extract shows Clinical Social Worker for NANCY MOORE (L I C S W). Clinical services aligned with this taxonomy classification.
Is NANCY MOORE (L I C S W) tied to Marion, Massachusetts?
If you are local to Marion, Massachusetts, NANCY MOORE (L I C S W) may be relevant to your search.
Who maintains NANCY MOORE (L I C S W)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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