Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407286206 Individual Practitioner Female Practitioner

Kerry-Ann Yolanda Moore

Social Worker • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Kerry-Ann Moore is a registered healthcare professional specializing in Social Worker in Richmond, VA. Practice services are available at 1201 BROAD ROCK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 Broad Rock Blvd

Richmond, VA 232491412

Telephone 8046755000
Associated Practice Facility / Clinic
🏢 Richmond Vamc Facility NPI 1013975317

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Richmond, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Richmond, VA (790 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License SC 14572

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jeremy Stout , PhD

Psychologist - Clinical

NPI 1003370321

Doctor of Philosophy (Ph.D.)

Jaclyn Melson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003417635

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Katherine Leivy , PsyD

Psychologist - Clinical

NPI 1003431040

Doctor of Psychology (Psy.D.)

Michael Martin , FNP-BC

Nurse Practitioner - Primary Care

NPI 1003489311

Family Nurse Practitioner (Board Certified)

Kimberly Powell , OTR, L

Occupational Therapist

NPI 1003835851

Occupational Therapist Registered, L

Peggy Carl

Pharmacist

NPI 1003838566

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 12, 2024

Registered at 1201 BROAD ROCK BLVD, RICHMOND, VA 232491412 (Tel: 8046755000)

📍
Updated Practice Location April 22, 2022

Registered at 1800 AIRPARK DR, MYRTLE BEACH, SC 295771412 (Tel: 8439412176)

📍
Updated Business Mailing Address April 22, 2022

Registered at 1800 AIRPARK DR, MYRTLE BEACH, SC 295771412 (Tel: 8439412176)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Social Worker (License #14572 in SC)

NPI Profile Active November 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2013

Registered at 1955 US 1 SOUTH, SUITE 100, ST. AUGUSTINE, FL 320865788 (Tel: 9048255055)

📍
Updated Business Mailing Address November 15, 2013

Registered at 1955 US 1 SOUTH, SUITE 100, ST. AUGUSTINE, FL 320865788 (Tel: 9048255055)

👤
Provider Name / Credentials Updated November 15, 2013

Recorded as KERRY-ANN MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2013

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration November 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407286206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2013
Last Update: June 12, 2024
Sole Proprietor: Yes

Mailing Address

1800 Airpark Dr

Myrtle Beach, SC 295771412

Phone: 8439412176

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.