NPI

Courtney Sherrill Moody

NPI 1083764914

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LCSW, LCADC
Type
Individual
Enumeration date
2007-01-11
Last updated
2026-08-04

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Specialties

Licenses

License KY
3374
License AK
246208
License KY
168640

Location

Practice location
10928 Eagle River Rd Ste 254
City
Eagle River AK
Postal code
99577-8080
Phone
(907) 355-2963

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Eagle River, AK. 926 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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