Carolyn R. Moore is a Clinical in Sedona, Arizona. Carolyn R. Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn R. Moore is 1386869303. The last update date is 2007-07-08.
Carolyn R. Moore's current location address is 50 Stutz Bearcat Dr, Sedona, Arizona. You can contact this provider via phone number 9283004539. The mailing address for Carolyn R. Moore is 50 Stutz Bearcat Dr, Sedona, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn R. Moore |
|---|---|
| Address | 50 Stutz Bearcat Dr, Sedona, Arizona |
| Phone Number | 9283004539 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1386869303 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 Stutz Bearcat Dr |
|---|---|
| City | Sedona |
| State | Arizona (AZ) |
| Post Code | 863365268 |
| Phone Number | 9283004539 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-10034 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0913070 | AZ | BCBS OF AZ NON-CONTRACTED |
Post Comment/ Review Below
What is the Carolyn R. Moore's 1386869303?
The Carolyn R. Moore's NPI (National Provider Identifier) Number is 1386869303. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carolyn R. Moore is geographically located?
The Carolyn R. Moore is physically situated at the following location: 50 Stutz Bearcat Dr, Sedona, AZ, 863365268.
What is Carolyn R. Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carolyn R. Moore's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1386869303 assigned to Carolyn R. Moore?
The Carolyn R. Moore was issued its 1386869303 on 2007-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Carolyn R. Moore last refreshed?
The information related to the Carolyn R. Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.