Dona Moon is a Clinical in Laurel, Maryland. Dona Moon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dona Moon is 1982869004. The last update date is 2021-06-02.
Dona Moon's current location address is 15037 Cherrywood Dr, Laurel, Maryland. You can contact this provider via phone number 2404618956 and fax number 2404618956. The mailing address for Dona Moon is 15037 Cherrywood Dr, Laurel, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dona Moon |
|---|---|
| Address | 15037 Cherrywood Dr, Laurel, Maryland |
| Phone Number | 2404618956 |
| Fax Number | 2404618956 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1982869004 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2021-06-02 |
Provider Mailing Address Detail
| Address | 15037 Cherrywood Dr |
|---|---|
| City | Laurel |
| State | Maryland (MD) |
| Post Code | 207075547 |
| Phone Number | 2404618956 |
| Fax Number | 2404618956 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC03012 |
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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 |
|---|---|---|---|
| 145120960 | MD | -- |
Post Comment/ Review Below
What is the Dona Moon's unique identification number?
The Dona Moon has been assigned the NPI (National Provider Identifier) Number 1982869004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Dona Moon?
The Dona Moon is situated at 15037 Cherrywood Dr, in the city of Laurel, state of MD, with the zip code 207075547.
What is Dona Moon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dona Moon's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1982869004 assigned to Dona Moon?
The Dona Moon was issued its 1982869004 on 2008-07-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dona Moon's details last updated?
The information pertaining to the Dona Moon, including its address, specialty, and other details, was most recently updated on 2021-06-02.