Elliot Moore is a Clinical in Sacramento, California. Elliot Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elliot Moore is 1316153554. The last update date is 2007-07-08.
Elliot Moore's current location address is 3951 Performance Dr Ste G, Sacramento, California. You can contact this provider via phone number 9169210828 and fax number 9169210333. The mailing address for Elliot Moore is 3951 Performance Dr Ste G, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elliot Moore |
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Address | 3951 Performance Dr Ste G, Sacramento, California |
Phone Number | 9169210828 |
Fax Number | 9169210333 |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1316153554 |
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Provider Enumeration Date | 2007-05-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3951 Performance Dr Ste G |
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City | Sacramento |
State | California (CA) |
Post Code | 958383264 |
Phone Number | 9169210828 |
Fax Number | 9169210333 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | ACSW #15787 |
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 |
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What is the unique 10-digit identifier code issued to Elliot Moore by the Centers for Medicare & Medicaid Services?
The Elliot Moore has been assigned the NPI (National Provider Identifier) 1316153554 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Elliot Moore?
The Elliot Moore is physically situated at 3951 Performance Dr Ste G, in the city of Sacramento, state of CA, with the postal code 958383264.
What is the Elliot Moore's specialty and taxonomy code?
The Elliot Moore's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Elliot Moore receive the assignment of its 1316153554 from the Centers for Medicare & Medicaid Services?
The Elliot Moore was issued its 1316153554 by the Centers for Medicare & Medicaid Services on 2007-05-15.
When was the information pertaining to Elliot Moore most recently updated or revised?
The details related to Elliot Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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