Audrey Moody is a Clinical in Willow Grove, Pennsylvania. Audrey Moody practices all healthcare services and medical treatments related to Clinical. The NPI Number for Audrey Moody is 1023033545. The last update date is 2007-07-08.
Audrey Moody's current location address is 3941 Commerce Ave, Willow Grove, Pennsylvania. You can contact this provider via phone number 2154815450. The mailing address for Audrey Moody is 3941 Commerce Ave, Willow Grove, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey Moody |
|---|---|
| Address | 3941 Commerce Ave, Willow Grove, Pennsylvania |
| Phone Number | 2154815450 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LSW |
NPI Number Detail
| NPI Number | 1023033545 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3941 Commerce Ave |
|---|---|
| City | Willow Grove |
| State | Pennsylvania (PA) |
| Post Code | 190901104 |
| Phone Number | 2154815450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW012647 |
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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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What is the unique 10-digit identification code issued to Audrey Moody by the Centers for Medicare & Medicaid Services?
The Audrey Moody has been assigned the NPI (National Provider Identifier) 1023033545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Audrey Moody is physically located?
The Audrey Moody is physically situated at the following address: 3941 Commerce Ave, Willow Grove, PA, 190901104.
What is Audrey Moody's specialized field of practice, and what is the corresponding taxonomy classification code?
The Audrey Moody'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 originally issue the 1023033545 to Audrey Moody?
The Centers for Medicare & Medicaid Services originally issued the 1023033545 to Audrey Moody on 2006-07-13.
As of what date was the information regarding Audrey Moody, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Audrey Moody, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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