Marshelle Katherine Moore in Gainesville - Clinical

Marshelle Katherine Moore - NPI 1255512612

Marshelle Katherine Moore is a Clinical in Gainesville, Florida. Marshelle Katherine Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marshelle Katherine Moore is 1255512612. The last update date is 2007-11-14.

Marshelle Katherine Moore's current location address is 620 Nw 16th Ave, Gainesville, Florida. You can contact this provider via phone number 3523768788. The mailing address for Marshelle Katherine Moore is 620 Nw 16th Ave, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Marshelle Katherine Moore
Address 620 Nw 16th Ave, Gainesville, Florida
Phone Number 3523768788
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1255512612
Provider Enumeration Date 2007-11-14
Last Updated Date 2007-11-14

Provider Mailing Address Detail

Address 620 Nw 16th Ave
City Gainesville
State Florida (FL)
Post Code 326014034
Phone Number 3523768788
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW6379
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
SW6379 FL LCSW

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FAQs about Marshelle Katherine Moore

What is the unique 10-digit identifier code issued to Marshelle Katherine Moore by the Centers for Medicare & Medicaid Services?

The Marshelle Katherine Moore has been assigned the NPI (National Provider Identifier) 1255512612 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Marshelle Katherine Moore is physically located?

The Marshelle Katherine Moore is situated at the following address: 620 Nw 16Th Ave, Gainesville, FL 326014034.

What is the area of specialization for Marshelle Katherine Moore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marshelle Katherine Moore is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1255512612 to Marshelle Katherine Moore?

The Centers for Medicare & Medicaid Services originally issued the 1255512612 to Marshelle Katherine Moore on 2007-11-14.

When was the information pertaining to Marshelle Katherine Moore most recently updated or revised?

The details related to Marshelle Katherine Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-14.

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