MRS. LAURA JEAN MOORE (NPI# 1164866695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164866695 |
Entity Type | Individual |
Full Name | MRS. LAURA JEAN MOORE |
Credential | LBSW, CADC |
Practice Address |
279 Summit Dr Waterford MI 48328-3364 |
Mailing Address |
6441 Washburn Rd Goodrich MI 48438-9686 |
Practice Telephone | 2484094173 |
Mailing Telephone | 2482259507 |
Enumeration Date | 2013-04-26 |
Last Update Date | 2013-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2-00994 | MI | Behavioral Health & Social Service Providers |
Y | 104100000X | Social Worker | 6802070480 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538621065 | Laura Moore | Psychologist | 24402 W Lockport St Ste 223, Plainfield, IL 60544-4267 | 2019-04-03 |
1992265565 | Laura Barlow Moore | Student in an Organized Health Care Education/Training Program | 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 | 2019-03-20 |
1881131225 | Laura Moore | Massage Therapist | 445a S Blackstock Rd, Spartanburg, SC 29301-3646 | 2017-01-24 |
1255875738 | Laura O Moore | Registered Nurse | 440 Thomas Rd, Dallas, GA 30132-7703 | 2016-12-19 |
1760837199 | Laura Moore | Physical Therapy Assistant | 75 E 400 N, Rupert, ID 83350-9571 | 2016-05-04 |
1538588181 | Laura Pippitt Moore | Anesthesiology | 1800 Camden Rd Ste 107-259, Charlotte, NC 28203 | 2014-04-10 |
1528405537 | Laura Kathan Moore | Counselor | 11925 Fairlie Pl, Raleigh, NC 27613-7842 | 2013-05-30 |
1467899443 | Laura Moore | Pharmacist | 665 S Mount Juliet Rd, Mount Juliet, TN 37122-6483 | 2013-05-30 |
1588943831 | Laura Ann Moore | Counselor | 103 Banyan Rd, Starkville, MS 39759-4327 | 2011-08-04 |
1679714380 | Laura Josie Moore | Counselor | 313 W Liberty St Ste 222, Lancaster, PA 17603-2766 | 2009-03-11 |
Street Address |
279 SUMMIT DR |
City | WATERFORD |
State | MI |
Zip Code | 48328-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053364307 | Mark Anthony Mitchell | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-05-18 |
1699376533 | Kiersten Gutherman | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-11-06 |
1316551427 | Doris Vernita Jenkins | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-09-04 |
1528689205 | Kimberly Aundrea Moore | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-05-04 |
1477182491 | Holly Richard | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-04-02 |
1437784014 | Diana L Tige | Community Health Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-03-04 |
1063046928 | Amy Stern | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-28 |
1225661382 | Keith Albert Robinson | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-18 |
1326671660 | Kathy Sue Barber | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
1023641388 | Deundra Denise Fuller | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
Find all providers in zip 48328 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740748425 | Kelli Wencel | Social Worker | 4125 Baybrook Dr, Waterford, MI 48329-3876 | 2019-03-12 |
1396234365 | Kim Diane Brown | Social Worker | 7000 Villa Dr Apt 8, Waterford, MI 48327-4032 | 2018-05-06 |
1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
1427404482 | Carmen Sue Wisniewski | Social Worker | 2805 Pontiac Lake Rd, Waterford, MI 48328-2680 | 2016-05-09 |
1003288820 | Kiley J Young | Social Worker | 11 Boston Post Rd, Waterford, CT 06385-2401 | 2015-10-21 |
1366835688 | Cheri Hope Pierce | Social Worker | 7045 Reed Dr, Waterford, MI 48327-1580 | 2015-03-11 |
1992132658 | Laclinda Bahea Duncan | Social Worker | 1760 Crescent Lake Road #220, Waterford, MI 48327 | 2013-09-26 |
1790126357 | Raquel Marie Coulter | Social Worker | 6372 Dellwood Dr, Waterford, MI 48329-3128 | 2013-07-11 |
Find all providers in WATERFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.