John Patrick Moore in Cottage Grove - Clinical
John Patrick Moore - NPI 1154332609
John Patrick Moore is a Clinical in Cottage Grove, Minnesota. John Patrick Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Patrick Moore is 1154332609. The last update date is 2007-07-08.
John Patrick Moore's current location address is 8385 113th St S, Cottage Grove, Minnesota. You can contact this provider via phone number 6514588647. The mailing address for John Patrick Moore is 8385 113th St S, Cottage Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Patrick Moore |
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Address | 8385 113th St S, Cottage Grove, Minnesota |
Phone Number | 6514588647 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1154332609 |
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Provider Enumeration Date | 2006-08-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8385 113th St S |
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City | Cottage Grove |
State | Minnesota (MN) |
Post Code | 550164520 |
Phone Number | 6514588647 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 13225 |
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 identifier code issued to John Patrick Moore by the Centers for Medicare & Medicaid Services?
The John Patrick Moore has been assigned the NPI (National Provider Identifier) 1154332609. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Patrick Moore?
The John Patrick Moore is situated at 8385 113Th St S, in the city of Cottage Grove, state of MN, with the zip code 550164520.
What is John Patrick Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Patrick Moore's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the John Patrick Moore receive its 1154332609 assignment from the Centers for Medicare & Medicaid Services?
The John Patrick Moore was assigned its 1154332609 by the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the John Patrick Moore's information last updated?
The John Patrick Moore's information was last updated on 2007-07-08.