MEDICARE: MR. STUART COLEMAN MOORE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	0904003326	VA

General Provider Information

NPI Number	:	1346318763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STUART COLEMAN MOORE LCSW

Provider Business Mailing Address
First Line	:	10560 MAIN ST STE 511B
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-7173
Country	:	US
Telephone Number	:	703-386-0050
Fax Number	:	703-476-6013

Provider Business Practice Location Address
First Line	:	10560 MAIN ST STE 511B
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-7173
Country	:	US
Telephone Number	:	703-386-0050
Fax Number	:	703-476-6013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	10/09/2025

Similar Medicare Providers

1124541313 — DR. CHRISENIA MARIA WHITE ND,LDN, L.AC, DC
Practice Location Address:

10560 MAIN ST STE 510
FAIRFAX, VA
22030-7173

Practice Phone: 571-934-1726
Practice Fax: 800-963-5633

1740264423 — MS. LINDA GERMAINE KOVALESKY-MCLAINE MSW
Practice Location Address:

10560 MAIN ST
FAIRFAX, VA
22030-7173

Practice Phone: 703-934-2648
Practice Fax: 703-934-2718

1134176027 — DR. BARRY N BURIJON PHD
Practice Location Address:

10560 MAIN ST , SUITE 507
FAIRFAX, VA
22030-7173

Practice Phone: 703-691-1326
Practice Fax: 703-691-3553

1093755019 — JOHN BLAIR KUHLMAN PSY D
Practice Location Address:

10560 MAIN STREET , STE 507
FAIRFAX, VA
22030-7173

Practice Phone: 703-691-1326
Practice Fax: 703-691-3553

1154359016 — DR. VICTOR H ELION PHD
Practice Location Address:

10560 MAIN ST , SUITE 507
FAIRFAX, VA
22030-7173

Practice Phone: 703-691-1326
Practice Fax: 703-691-3553

1063440931 — JEANNE MARIE MARQUIS PHD
Practice Location Address:

10560 MAIN ST , STE 507
FAIRFAX, VA
22030-7173

Practice Phone: 703-691-1326
Practice Fax: 703-691-3553

Directions to “ MR. STUART COLEMAN MOORE LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.