MR. DEREK DYKES MOORE (NPI# 1427062165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427062165 |
| Entity Type | Individual |
| Full Name | MR. DEREK DYKES MOORE |
| Credential | LICSW |
| Practice Address |
22 Mcgrath Hwy Somerville MA 02143-4508 |
| Mailing Address |
10 Bridge St Marblehead MA 01945-3711 |
| Practice Telephone | 6176231814 |
| Practice Fax Number | 6176231817 |
| Mailing Telephone | 6178932231 |
| Mailing Fax Number | 6176231817 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
113305 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462833 | Derek Moore | In Home Supportive Care | 15024 Mormon St, Bennington, NE 68007-1246 | 2020-06-20 |
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1285067728 | Derek Moore | Dentist | 1916 25th St, Sacramento, CA 95816-7214 | 2013-08-20 |
| 1376697391 | Derek Moore | Surgery | 4220 Harding Pike Ste 401, Nashville, TN 37205-2005 | 2007-01-23 |
| 1952476772 | Derek Riddick Moore | Chiropractor | 8996 Seminole Blvd, Seminole, FL 33772-3850 | 2006-11-21 |
| 1174135552 | Derek Moore | Case Manager/Care Coordinator | 902 Gallia St, Portsmouth, OH 45662-4139 | 2020-08-18 |
| 1659931046 | Derek Moore | Family Medicine | 10 Shurs Ln Ste 301, Philadelphia, PA 19127-2123 | 2019-06-18 |
| 1851876031 | Derek Raymond Moore | Counselor | 8020 W 87th St, Hickory Hills, IL 60457-1189 | 2018-10-03 |
| 1528306511 | Derek Thomas Moore | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 | 2013-01-25 |
| 1033405220 | Derek Cecil Moore | Emergency Medicine | 29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 | 2011-06-26 |
| Street Address |
22 MCGRATH HWY |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366634792 | Alex Russakovsky | Optometrist | 22 Mcgrath Hwy, Pearle Vision, Somerville, MA 02143-4508 | 2007-08-09 |
| 1548470552 | Amo, Inc. | Technician/Technologist | 22 Mcgrath Hwy, Somerville, MA 02143-4508 | 2007-05-22 |
| 1386784668 | Paul I Knox | Counselor | 22 Mcgrath Hwy, Twin City Offices Suite 204, Somerville, MA 02143-4508 | 2007-02-07 |
| 1720126410 | Michael Joseph Hayes | Counselor | 22 Mcgrath Hwy, Suite 204, Somerville, MA 02143-4508 | 2007-02-02 |
| 1245378041 | James A Luccio | Optometrist | 22 Mcgrath Hwy, Pearle Vision Center, Somerville, MA 02143-4508 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506395 | Kelsey Elizabeth Oakes | Social Worker | 47 Pearson Ave Apt 2, Somerville, MA 02144-2305 | 2020-10-18 |
| 1326652330 | Kathryn Cote Ray | Social Worker | 125 Highland Rd Apt 1, Somerville, MA 02144-2235 | 2020-09-07 |
| 1700496544 | Lea Steinman | Social Worker | Jewish Family Service of Somerset, 150a West High Street, Somerville, NJ 08876-0887 | 2020-08-06 |
| 1619501251 | Danielle Ayla Metzger | Social Worker | 257 Elm St Ste 201, Somerville, MA 02144-2934 | 2020-02-22 |
| 1275098840 | Ruth Leslie Goldsmith | Social Worker | 134 W End Ave Fl 2, Somerville, NJ 08876 | 2019-02-07 |
| 1669944039 | Jane Carpineto | Social Worker | 67 Church St, Somerville, MA 02143-1737 | 2018-12-26 |
| 1487135414 | Patricia Contente | Social Worker | 220 Somerville Ave, Somerville, MA 02143-3415 | 2018-08-28 |
| 1548741341 | Jeanette Silberstein Maclean | Social Worker | 36 Powder House Blvd, Somerville, MA 02144-1306 | 2018-08-28 |
| 1669953881 | Karen Rosemary Monaghan | Social Worker | 40 Montrose St, Somerville, MA 02143-1213 | 2018-08-25 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on MR. DEREK DYKES MOORE.
| 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.