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Stuart Coleman Moore , LCSW

Psychologist β€’ Fairfax, VA

Active NPI 1346318763 Individual Practitioner Male Practitioner
Practice location in NPPES

4118 Leonard Dr
Fairfax, VA 220305118

Call 7033860050 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

4118 Leonard Dr

Fairfax, VA 220305118

Telephone 7033860050
Organization at the Same NPPES Address or Phone
Stuart Moore Llc Facility NPI 1417440397

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

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; 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stuart Moore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stuart Moore as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fairfax and Virginia

47 active clinicians are listed under Psychologist with a practice address in Fairfax, VA (502 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfax

12.8% of these 47 clinicians have the CMS telehealth indicator.

21.3% of these 47 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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: 2026-08-29
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES VA 0904003326

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20120406000309

Enrollment State Jurisdiction

DC

PECOS Control ID

3971649278

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location August 29, 2026

Registered at 4118 LEONARD DR, FAIRFAX, VA 220305118 (Tel: 7033860050)

πŸ“
Updated Business Mailing Address August 29, 2026

Registered at 4118 LEONARD DR, FAIRFAX, VA 220305118 (Tel: 7033860050)

πŸ“
Updated Practice Location October 09, 2025

Registered at 10560 MAIN ST STE 511B, FAIRFAX, VA 220307173 (Tel: 7033860050)

πŸ“
Updated Business Mailing Address October 09, 2025

Registered at 10560 MAIN ST STE 511B, FAIRFAX, VA 220307173 (Tel: 7033860050)

πŸ“
Updated Practice Location April 20, 2018

Registered at 8101 HINSON FARM RD STE 117, ALEXANDRIA, VA 223063404 (Tel: 7033860050)

βœ…
NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 19, 2017

Registered at 12050 S LAKES DR, RESTON, VA 201911220 (Tel: 7033860050)

πŸ“
Updated Business Mailing Address January 19, 2017

Registered at 12050 S LAKES DR, RESTON, VA 201911220 (Tel: 7033860050)

πŸ‘€
Provider Name / Credentials Updated January 19, 2017

Recorded as STUART MOORE, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Psychologist (license number reported to NPPES: VA 0904003326)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 8550 LEE HIGHWAY, SUITE 300, FAIRFAX, VA 220314512 (Tel: 7032072864)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI, KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 208524908 (Tel: 3018166660)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as STUART MOORE, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: VA 0904003326)

🟒
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346318763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: August 29, 2026
Sole Proprietor: Yes

Other Psychologists in Fairfax

All Psychologists in Fairfax

Mailing Address

4118 Leonard Dr

Fairfax, VA 220305118

Phone: 7033860050

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.