Carolyn Maryam Moody, LCSW
NPI 1093115867 · Clinical Social Worker · South San Francisco, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolyn Maryam Moody, LCSW is a Clinical Social Worker provider in South San Francisco, CA (NPI 1093115867).
Provider details
- NPI number
- 1093115867
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2020-07-21
- Certified
- 2020-07-21
Frequently asked questions
- What is Carolyn Maryam Moody's NPI number?
- Carolyn Maryam Moody's National Provider Identifier (NPI) is 1093115867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Maryam Moody's specialty?
- Carolyn Maryam Moody is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Carolyn Maryam Moody located?
- Carolyn Maryam Moody's practice location on file with NPPES is 36 Chestnut Ave, South San Francisco, CA 94083-8074.
- What is Carolyn Maryam Moody's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Maryam Moody is (415) 200-4587.
- Does Carolyn Maryam Moody accept Medicare?
- Carolyn Maryam Moody is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolyn Maryam Moody's NPI active?
- Yes — Carolyn Maryam Moody's NPI (1093115867) is active in the NPPES registry as of the last update on 2020-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.