Patrice Wallace-Moore in Carmel - Clinical
Patrice Wallace-Moore - NPI 1528187622
Patrice Wallace-Moore is a Clinical in Carmel, New York. Patrice Wallace-Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrice Wallace-Moore is 1528187622. The last update date is 2023-05-02.
Patrice Wallace-Moore's current location address is 75 Seminary Hill Rd, Carmel, New York. You can contact this provider via phone number 8009892676 and fax number 8457046178. The mailing address for Patrice Wallace-Moore is 75 Seminary Hill Rd, Carmel, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Wallace-Moore |
|---|---|
| Address | 75 Seminary Hill Rd, Carmel, New York |
| Phone Number | 8009892676 |
| Fax Number | 8457046178 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528187622 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2023-05-02 |
Provider Mailing Address Detail
| Address | 75 Seminary Hill Rd |
|---|---|
| City | Carmel |
| State | New York (NY) |
| Post Code | 105121921 |
| Phone Number | 8009892676 |
| Fax Number | 8457046178 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 42966 |
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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 |
|---|---|---|---|
| 1420795 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Patrice Wallace-Moore by the Centers for Medicare & Medicaid Services?
The Patrice Wallace-Moore has been assigned the NPI (National Provider Identifier) 1528187622. 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 physical address where Patrice Wallace-Moore is located?
The Patrice Wallace-Moore is situated at the following address: 75 Seminary Hill Rd, Carmel, NY, 105121921.
What is the Patrice Wallace-Moore's area of specialization and corresponding taxonomy classification?
The Patrice Wallace-Moore's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528187622 to Patrice Wallace-Moore?
The Centers for Medicare & Medicaid Services originally issued the 1528187622 to Patrice Wallace-Moore on 2007-03-28.
As of what date were the details pertaining to Patrice Wallace-Moore last refreshed?
The information related to the Patrice Wallace-Moore, including its address, specialty, and other relevant details, was last updated on 2023-05-02.
NPI Number: 1720081763
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