Sandi Moore is a Clinical in Idabel, Oklahoma. Sandi Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandi Moore is 1295910685. The last update date is 2016-04-04.
Sandi Moore's current location address is 187 Butler Pool Rd, Idabel, Oklahoma. You can contact this provider via phone number 5806122112 and fax number 8669887664. The mailing address for Sandi Moore is 187 Butler Pool Rd, Idabel, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sandi Moore |
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Address | 187 Butler Pool Rd, Idabel, Oklahoma |
Phone Number | 5806122112 |
Fax Number | 8669887664 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1295910685 |
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Provider Enumeration Date | 2008-01-03 |
Last Updated Date | 2016-04-04 |
Provider Mailing Address Detail
Address | 187 Butler Pool Rd |
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City | Idabel |
State | Oklahoma (OK) |
Post Code | 747455793 |
Phone Number | 5806122112 |
Fax Number | 8669887664 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 4145 |
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 provider identifier assigned to Sandi Moore?
The Sandi Moore has been issued the NPI (National Provider Identifier) 1295910685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Sandi Moore is physically located?
The Sandi Moore is situated at the following address: 187 Butler Pool Rd, Idabel, OK 747455793.
What is Sandi Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandi Moore's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295910685 to Sandi Moore?
The Sandi Moore received its 1295910685 assignment from the Centers for Medicare & Medicaid Services on 2008-01-03.
When was the information pertaining to Sandi Moore most recently updated or revised?
The details related to Sandi Moore, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-04.
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