Penelope Anne Moore, MA MED MSW LICSW
NPI 1609912294ActiveIndividual· Social Worker, Clinical· Belmont, MA
Social Worker, Clinical (MA MED MSW LICSW) in Belmont, Massachusetts, licensed in MA, with an NPI issued in January 2007. Medicare paid $65,984 for services to 27 patients in 2024.
Overview
| NPI | 1609912294 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA MED MSW LICSW |
| Sole proprietor | No |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Jun 16, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 120302 | MA |
| Social Worker, Clinical | 1041C0700X | 217592 | MA |
| Counselor, Mental Health | 101YM0800X | 1801 | MA |
| Marriage & Family Therapist | 106H00000X | 939 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 911 across 4 procedure codes |
| Paid by Medicare | $65,984 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 210 clinical social workers in Belmont · All clinical social workers in Massachusetts