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Amanda S Moore , LMSW

Social Worker β€’ Roswell, GA

Active NPI 1023269230 Individual Practitioner Female Practitioner
Practice location in NPPES

290 Saddle Lake Dr
Roswell, GA 300761050

Call 7705614585 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

290 Saddle Lake Dr

Roswell, GA 300761050

Telephone 7705614585
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Atlanta, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roswell and Georgia

26 active clinicians are listed under Social Worker with a practice address in Roswell, GA (2,169 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Roswell

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES GA MSW012593

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

600 W Peachtree St Nw Ste 44

Atlanta, GA 303083607

Phone: 8885002067

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
🏒
Secondary Practice Location Registered February 12, 2026

Additional practice office at 600 W Peachtree St NW Ste 44, Atlanta, GA 303083607

πŸ‘€
Provider Name / Credentials Updated February 12, 2026

Recorded as AMANDA MOORE, LMSW

πŸ“
Updated Practice Location May 30, 2024

Registered at 290 SADDLE LAKE DR, ROSWELL, GA 300761050 (Tel: 7705614585)

πŸ“
Updated Business Mailing Address May 30, 2024

Registered at 290 SADDLE LAKE DR, ROSWELL, GA 300761050 (Tel: 7705614585)

πŸ‘€
Provider Name / Credentials Updated May 30, 2024

Recorded as AMANDA MOORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2024

Counselor

βœ…
NPI Profile Active April 20, 2012

NPI status registered as active in NPPES database

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Practice Location (Initial Record) April 20, 2012

Registered at 54 PEACHTREE PARK DR NE, ATLANTA, GA 303091304 (Tel: 4043516041)

πŸ“
Business Mailing Address (Initial Record) April 20, 2012

Registered at 425 WILDE GREEN DR, ROSWELL, GA 300757100 (Tel: 7705614585)

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2012

Recorded as AMANDA MOORE, ACNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2012

Nurse Practitioner (license number reported to NPPES: GA RN165228)

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Initial NPI Registration & Enumeration October 07, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023269230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2008
Last Update: February 12, 2026
Sole Proprietor: No

Mailing Address

290 Saddle Lake Dr

Roswell, GA 300761050

Phone: 7705614585

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.