Martha W. Moore is a Clinical in Worcester, Massachusetts. Martha W. Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha W. Moore is 1225016678. The last update date is 2010-01-25.
Martha W. Moore's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083343240. The mailing address for Martha W. Moore is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha W. Moore |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5083343240 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1225016678 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2010-01-25 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083343240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106105 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1854763 | MA | -- |
Post Comment/ Review Below
What is the Martha W. Moore's 1225016678?
The Martha W. Moore's NPI (National Provider Identifier) Number is 1225016678. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Martha W. Moore is located?
The Martha W. Moore is situated at the following address: 55 Lake Ave N, Worcester, MA, 16550002.
What is Martha W. Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Martha W. Moore is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Martha W. Moore receive its 1225016678 assignment?
The Martha W. Moore was assigned its 1225016678 on 2006-01-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Martha W. Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Martha W. Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-25.