Shanike Antwan Moore in Memphis - Clinical
Shanike Antwan Moore - NPI 1881715241
Shanike Antwan Moore is a Clinical in Memphis, Tennessee. Shanike Antwan Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shanike Antwan Moore is 1881715241. The last update date is 2007-07-08.
Shanike Antwan Moore's current location address is 1327 Greenbrook Bnd Apt 5, Memphis, Tennessee. You can contact this provider via phone number 9013839792. The mailing address for Shanike Antwan Moore is 1327 Greenbrook Bnd Apt 5, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanike Antwan Moore |
|---|---|
| Address | 1327 Greenbrook Bnd Apt 5, Memphis, Tennessee |
| Phone Number | 9013839792 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CMSW |
NPI Number Detail
| NPI Number | 1881715241 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1327 Greenbrook Bnd Apt 5 |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381348148 |
| Phone Number | 9013839792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6486 |
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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 provider identifier assigned to Shanike Antwan Moore?
The Shanike Antwan Moore has been issued the NPI (National Provider Identifier) 1881715241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shanike Antwan Moore?
The Shanike Antwan Moore is physically situated at 1327 Greenbrook Bnd Apt 5, in the city of Memphis, state of TN, with the postal code 381348148.
What is the area of specialization for Shanike Antwan Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shanike Antwan Moore is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Shanike Antwan Moore receive its 1881715241 assignment from the Centers for Medicare & Medicaid Services?
The Shanike Antwan Moore was assigned its 1881715241 by the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the details pertaining to Shanike Antwan Moore last refreshed?
The information related to the Shanike Antwan Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.