Jimmy Moore is a Clinical in Salem, Virginia. Jimmy Moore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jimmy Moore is 1649232109. The last update date is 2007-07-08.
Jimmy Moore's current location address is 1970 Roanoke Blvd, Salem, Virginia. You can contact this provider via phone number 5409831018 and fax number 5402241932. The mailing address for Jimmy Moore is 1970 Roanoke Blvd, Salem, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Moore |
|---|---|
| Address | 1970 Roanoke Blvd, Salem, Virginia |
| Phone Number | 5409831018 |
| Fax Number | 5402241932 |
| Sole Proprietor | X |
| Credentials | MSW,LCSW |
NPI Number Detail
| NPI Number | 1649232109 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1970 Roanoke Blvd |
|---|---|
| City | Salem |
| State | Virginia (VA) |
| Post Code | 241536404 |
| Phone Number | 5409831018 |
| Fax Number | 5402241932 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904002321 |
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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 identifier code issued to Jimmy Moore by the Centers for Medicare & Medicaid Services?
The Jimmy Moore has been assigned the NPI (National Provider Identifier) 1649232109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jimmy Moore is geographically located?
The Jimmy Moore is physically situated at the following location: 1970 Roanoke Blvd, Salem, VA, 241536404.
What is Jimmy Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jimmy Moore's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Jimmy Moore receive its 1649232109 assignment from the Centers for Medicare & Medicaid Services?
The Jimmy Moore was assigned its 1649232109 by the Centers for Medicare & Medicaid Services on 2006-04-03.
When was the information regarding Jimmy Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jimmy Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.