Stacey Lee Moore in Mason City - Social Worker
Stacey Lee Moore - NPI 1417060765
Stacey Lee Moore is a Social Worker in Mason City, Iowa. Stacey Lee Moore practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Stacey Lee Moore is 1417060765. The last update date is 2007-07-08.
Stacey Lee Moore's current location address is 235 S Eisenhower Ave, Mason City, Iowa. You can contact this provider via phone number 6414242075 and fax number 6414249555. The mailing address for Stacey Lee Moore is 235 S Eisenhower Ave, Mason City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Lee Moore |
|---|---|
| Address | 235 S Eisenhower Ave, Mason City, Iowa |
| Phone Number | 6414242075 |
| Fax Number | 6414249555 |
| Sole Proprietor | N |
| Credentials | BSW |
NPI Number Detail
| NPI Number | 1417060765 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 235 S Eisenhower Ave |
|---|---|
| City | Mason City |
| State | Iowa (IA) |
| Post Code | 504011562 |
| Phone Number | 6414242075 |
| Fax Number | 6414249555 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | 4904 |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the unique 10-digit identifier code issued to Stacey Lee Moore by the Centers for Medicare & Medicaid Services?
The Stacey Lee Moore has been assigned the NPI (National Provider Identifier) 1417060765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacey Lee Moore's facilities are situated?
The facilities of Stacey Lee Moore are physically located at the following address: 235 S Eisenhower Ave, Mason City, IA, 504011562.
What is Stacey Lee Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacey Lee Moore's specialized field of practice is Social Worker, and the corresponding taxonomy code that categorizes this area of specialization is 104100000X.
On what date did the Stacey Lee Moore receive the assignment of its 1417060765 from the Centers for Medicare & Medicaid Services?
The Stacey Lee Moore was issued its 1417060765 by the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the details related to Stacey Lee Moore most recently updated or revised?
The information pertaining to Stacey Lee Moore, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.