Agnes M Moore in Rochester - Clinical

Agnes M Moore - NPI 1982712485

Agnes M Moore is a Clinical in Rochester, New York. Agnes M Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Agnes M Moore is 1982712485. The last update date is 2007-07-08.

Agnes M Moore's current location address is 490 Ridge Rd E, Rochester, New York. You can contact this provider via phone number 5859222500 and fax number 5859222664. The mailing address for Agnes M Moore is 490 Ridge Rd E, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Agnes M Moore
Address 490 Ridge Rd E, Rochester, New York
Phone Number 5859222500
Fax Number 5859222664
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1982712485
Provider Enumeration Date 2006-08-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 490 Ridge Rd E
City Rochester
State New York (NY)
Post Code 146211229
Phone Number 5859222500
Fax Number 5859222664

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 45577
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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FAQs about Agnes M Moore

What is the unique 10-digit identification code issued to Agnes M Moore by the Centers for Medicare & Medicaid Services?

The Agnes M Moore has been assigned the NPI (National Provider Identifier) 1982712485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Agnes M Moore's facilities are situated?

The facilities of Agnes M Moore are physically located at the following address: 490 Ridge Rd E, Rochester, NY, 146211229.

What is Agnes M Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Agnes M Moore's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date was the 1982712485 assigned to Agnes M Moore?

The Agnes M Moore was issued its 1982712485 on 2006-08-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Agnes M Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Agnes M Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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