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

Tabatha Eva Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639696115

Tabatha Eva Moore is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2017, 9 years ago. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1100 Logger Ct Apt D
Raleigh, NC 27609-8525
Phone: (919) 844-7770
Fax: (919) 844-7771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P014337 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X · Licence LCAS-2896 (NC)

Record details

NPI number1639696115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2017
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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