Blaine Moore is a Clinical in Mansfield, Texas. Blaine Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Blaine Moore is 1346388659. The last update date is 2022-11-02.
Blaine Moore's current location address is Po Box 2114, Mansfield, Texas. You can contact this provider via phone number 8179142267 and fax number 8172252144. The mailing address for Blaine Moore is Po Box 2114, Mansfield, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaine Moore |
|---|---|
| Address | Po Box 2114, Mansfield, Texas |
| Phone Number | 8179142267 |
| Fax Number | 8172252144 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1346388659 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2022-11-02 |
Provider Mailing Address Detail
| Address | Po Box 2114 |
|---|---|
| City | Mansfield |
| State | Texas (TX) |
| Post Code | 760630020 |
| Phone Number | 8179142267 |
| Fax Number | 8172252144 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 50464 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Blaine Moore by the Centers for Medicare & Medicaid Services?
The Blaine Moore has been issued the NPI (National Provider Identifier) 1346388659 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Blaine Moore's facilities are geographically located?
The facilities of Blaine Moore are physically situated at the following location: Po Box 2114, Mansfield, TX, 760630020.
What is the Blaine Moore's specialty and taxonomy code?
The Blaine Moore's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346388659 to Blaine Moore?
The Centers for Medicare & Medicaid Services assigned the 1346388659 to Blaine Moore on 2007-02-01.
When was the information pertaining to Blaine Moore most recently updated or revised?
The details related to Blaine Moore, including its address, specialty, and other relevant information, were last updated or revised on 2022-11-02.
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