Kevin Moore is a Clinical in North Webster, Indiana. Kevin Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Moore is 1154452910. The last update date is 2018-03-24.
Kevin Moore's current location address is Po Box 761, North Webster, Indiana. You can contact this provider via phone number 5745350880 and fax number 5745350882. The mailing address for Kevin Moore is Po Box 761, North Webster, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Moore |
|---|---|
| Address | Po Box 761, North Webster, Indiana |
| Phone Number | 5745350880 |
| Fax Number | 5745350882 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1154452910 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2018-03-24 |
Provider Mailing Address Detail
| Address | Po Box 761 |
|---|---|
| City | North Webster |
| State | Indiana (IN) |
| Post Code | 465550761 |
| Phone Number | 5745350880 |
| Fax Number | 5745350882 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34005489A |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Kevin Moore by the Centers for Medicare & Medicaid Services?
The Kevin Moore has been assigned the NPI (National Provider Identifier) 1154452910. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin Moore is physically located?
The Kevin Moore is situated at the following address: Po Box 761, North Webster, IN 465550761.
What is Kevin Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Moore's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Kevin Moore's 1154452910 issued?
The Kevin Moore's 1154452910 was issued on 2007-03-07.
As of what date were the details pertaining to Kevin Moore last refreshed?
The information related to the Kevin Moore, including its address, specialty, and other relevant details, was last updated on 2018-03-24.