Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790093730 Individual Practitioner Female Practitioner

Melody Lynn Moore , PA-C, LCSW

Physician Assistant • Olympia, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Melody Moore, PA-C, LCSW is a registered healthcare professional specializing in Physician Assistant in Olympia, WA. Official NPI practice address is registered at 3624 ENSIGN RD NE STE F.

Practice Location & Contact Primary Location

Practice Address

3624 Ensign Rd Ne Ste F

Olympia, WA 985065114

Telephone 3606348949
Fax 3606348234
Associated Practice Facility / Clinic
🏢 Ergocare Clinic Pllc Facility NPI 1427621655

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
112 Specialists

Practicing in Olympia, WA (3774 Statewide)

Telehealth Adoption Rate
11.6% 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: 2025-11-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA 61505595

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License NC C006993

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NC 0010-13458

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License WA 61505595

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.

Secondary Practice Locations

2135 New Walkertown Rd

Winston Salem, NC 271013420

Phone: 3367237904

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1972865582

Doctor of Medical Science, Physician Assistant (Certified)

Career & Practice History Timeline

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

24 Historical Events
📍
Updated Practice Location November 18, 2025

Registered at 3624 ENSIGN RD NE STE F, OLYMPIA, WA 985065114 (Tel: 3606348949)

👤
Provider Name / Credentials Updated November 18, 2025

Recorded as MELODY MOORE, PA-C, LCSW

📍
Updated Practice Location October 02, 2025

Registered at 190 KIMEL PARK DR STE 120, WINSTON SALEM, NC 271036946 (Tel: 3362772200)

📍
Updated Business Mailing Address October 02, 2025

Registered at 380-H KNOLLWOOD ST PMB 115, WINSTON SALEM, NC 271031865 (Tel: 3367946811)

📍
Updated Practice Location August 19, 2024

Registered at 1399 ASHLEYBROOK LN STE 100, WINSTON SALEM, NC 271032961 (Tel: 3677421943)

📍
Updated Business Mailing Address August 19, 2024

Registered at 380 KNOLLWOOD ST STE H, WINSTON SALEM, NC 271031865 (Tel: 3367946811)

👤
Provider Name / Credentials Updated August 19, 2024

Recorded as MELODY MOORE, LCSW, PA-C

📍
Updated Practice Location March 04, 2024

Registered at 1399 ASHLEY BROOK LANE SUITE 100, WINSTON-SALEM, NC 27103 (Tel: 3367946811)

📍
Updated Business Mailing Address March 04, 2024

Registered at 380 KNOLLWOOD ST, STE H, PMB 115, WINSTON-SALEM, NC 271035859 (Tel: 3367946811)

👤
Provider Name / Credentials Updated March 04, 2024

Recorded as MELODY MOORE, LCSW, MS, MPAP

📍
Updated Practice Location December 07, 2023

Registered at 211 S TRADD ST, STATESVILLE, NC 286775859 (Tel: 8286552930)

📍
Updated Business Mailing Address December 07, 2023

Registered at 211 S TRADD ST, STATESVILLE, NC 286775859 (Tel: 8286552930)

👤
Provider Name / Credentials Updated August 01, 2023

Recorded as MELODY MOORE, MSW, LCSW, MS, MPAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2023

Social Worker (License #C006993 in NC)

📍
Updated Practice Location January 04, 2023

Registered at 4150 US 421 S, LILLINGTON, NC 275466770 (Tel: 9108931690)

📍
Updated Business Mailing Address January 04, 2023

Registered at 4150 US 421 S, LILLINGTON, NC 275466770 (Tel: 9108931690)

👤
Provider Name / Credentials Updated January 04, 2023

Recorded as MELODY MOORE, MSW, LCSW, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2023

Student in an Organized Health Care Education/Training Program

NPI Profile Active October 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2012

Registered at 4045 UNIVERSITY PKWAY, WINSTON SALEM, NC 271063325 (Tel: 3367149100)

📍
Updated Business Mailing Address October 12, 2012

Registered at 4045 UNIVERSITY PKWY, WINSTON SALEM, NC 271063325 (Tel: 3367149100)

👤
Provider Name / Credentials Updated October 12, 2012

Recorded as MELODY MOORE, MSW, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2012

Social Worker (License #C006993 in NC)

🟢
Initial NPI Registration & Enumeration September 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790093730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2010
Last Update: November 18, 2025
Sole Proprietor: No

Mailing Address

380-H Knollwood St Pmb 115

Winston Salem, NC 271031865

Phone: 3367946811

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.