Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Susanna Moore, MSMLPC

Individual provider Professional Counselor · NPI 1770258766

MS. Susanna Moore, MSMLPC is a Mental Health Counselor in Upper Darby, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Indlovu LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2021

Practice location Address checks out

6930 Market St Fl 2
Upper Darby, PA 19082-2308
Phone: (484) 469-4319
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC013468 (PA)

Record details

NPI number1770258766
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSMLPC
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address2541 E Indiana Ave, Philadelphia, PA 19134-4940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Indlovu Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Upper Darby