Courtney Danielle Moore, LCSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1154887073
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1154887073
- Entity type
- Individual (NPI-1)
- Name
- Courtney Danielle Moore
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2019
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 107859 | CA | Yes |
Practice location
6386 Alvarado Ct Ste 210San Diego, CA 92120-4907
Phone 858-279-1223
Mailing address
6386 Alvarado Ct Ste 210San Diego, CA 92120-4907
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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