Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Carolyn Mercedes Moore, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1922699602

MS. Carolyn Mercedes Moore, MSW, LCSW is a Clinical Social Worker in Tampa, Florida. Qualified in 2000, 26 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4700 N Habana Ave Ste 703
Tampa, FL 33614-7122
Phone: (941) 499-0463
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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 SW16965 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 16965 (FL)

Record details

NPI number1922699602
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Optum Behavioral Care of North Carolina PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 176 clinicians in the practice; 12 are shown here.

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