Carolyn Mae Moore is a Clinical in Albany, Oregon. Carolyn Mae Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Mae Moore is 1720068182. The last update date is 2018-03-05.
Carolyn Mae Moore's current location address is Po Box 100, Albany, Oregon. You can contact this provider via phone number 5414515932. The mailing address for Carolyn Mae Moore is Po Box 100, Albany, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Mae Moore |
|---|---|
| Address | Po Box 100, Albany, Oregon |
| Phone Number | 5414515932 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1720068182 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2018-03-05 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Albany |
| State | Oregon (OR) |
| Post Code | 973210031 |
| Phone Number | 5414515932 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L4204 |
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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 |
|---|---|---|---|
| 500612327 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carolyn Mae Moore by the Centers for Medicare & Medicaid Services?
The Carolyn Mae Moore has been assigned the NPI (National Provider Identifier) 1720068182 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 address where Carolyn Mae Moore is geographically located?
The Carolyn Mae Moore is physically situated at the following location: Po Box 100, Albany, OR, 973210031.
What is the Carolyn Mae Moore's specialty and taxonomy code?
The Carolyn Mae Moore's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Carolyn Mae Moore receive its 1720068182 assignment?
The Carolyn Mae Moore was assigned its 1720068182 on 2006-01-20, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Carolyn Mae Moore most recently updated or revised?
The details related to Carolyn Mae Moore, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-05.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA