DESIRE HENDRICKSMORENO (NPI# 1235537473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235537473 |
| Entity Type | Individual |
| Full Name | DESIRE HENDRICKSMORENO |
| Credential | MS LSW |
| Practice Address |
279 North Main Street Fall River MA 02720 |
| Mailing Address |
197 Meetinghouse Rd Mashpee MA 02649-2617 |
| Practice Telephone | 5086790033 |
| Practice Fax Number | 5086790037 |
| Mailing Telephone | 5086790033 |
| Mailing Fax Number | 5086790037 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
279 NORTH MAIN STREET |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| 1356751358 | Karen Mercer | Counselor | 1028 Davol Street, Fall River, MA 02720 | 2014-04-30 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651676 | River To Recovery, Inc. | Counselor | 1507 Pleasant St, Fall River, MA 02723-1914 | 2019-10-25 |
| 1497278428 | Deborah Jane Correira | Counselor | 134 Durfee St, Fall River, MA 02720-2125 | 2017-07-21 |
| 1942657887 | Claude Edward Johnson | Counselor | 471 Lawton St, Fall River, MA 02721-3439 | 2016-05-20 |
| 1588953855 | Nancy Ellen Jones | Counselor | 1700b President Ave., Fall River, MA 02720 | 2011-04-07 |
| 1861724999 | Elizabeth M. Granata | Counselor | 1016 Eastern Ave, Fall River, MA 02723-2842 | 2010-01-29 |
| 1972621134 | Roger Gerard Dextradeur | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2007-03-27 |
| 1144219551 | Family Service Association of Greater Fall River, Inc. | Counselor | 151 Rock St, Fall River, MA 02720-3201 | 2005-10-18 |
| 1871139022 | Kevin Doyle | Counselor | 1507 Pleasant St, Fall River, MA 02723-1914 | 2019-11-22 |
| 1306494208 | Samrang Mao | Counselor | 279 N Main St, Fall River, MA 02720-2320 | 2019-09-04 |
| 1497302939 | Tracy Ann Mcgonagle | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2019-08-20 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on DESIRE HENDRICKSMORENO.
| 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.