DR. CASSANDRA JO MOORE (NPI# 1457415853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457415853 |
Entity Type | Individual |
Full Name | DR. CASSANDRA JO MOORE |
Credential | PHD, MA, LPC, LPC/S |
Practice Address |
580 North Church Street Swansea SC 29160 |
Mailing Address |
3122 Savannah Hwy North SC 29112-8165 |
Practice Telephone | 8036046253 |
Mailing Telephone | 8036046253 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
5056 | SC | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
301 Palmetto Park Blvd, Lexington, SC 290727872 | 8039961500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164081576 | Cassandra Moore | Registered Nurse | 3863 Seabeck Holly Rd Nw, Seabeck, WA 98380-9227 | 2019-06-10 |
1437466893 | Cassandra Jean Moore | Counselor | 4667 Macarthur Blvd Ste 320, Newport Beach, CA 92660-1867 | 2010-09-07 |
1902446800 | Cassandra Moore | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2020-01-09 |
1275198574 | Cassandra Lynnette Moore | Occupational Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-05-02 |
1194204941 | Cassandra Moore | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-08-13 |
1093216152 | Cassandra Rena Moore | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2018-02-23 |
1912423252 | Cassandra Jo Moore | Counselor | 1720 Nw Lovejoy St, Portland, OR 97209-2346 | 2017-08-18 |
1568919223 | Cassandra Moore | Counselor | 1040 Longfield Ct, Montgomery, AL 36117-8055 | 2016-09-09 |
1669843967 | Cassandra Rose Moore | Counselor | 617 S Green St, Suite 300, Morganton, NC 28655-3517 | 2015-10-13 |
1265742530 | Cassandra Moore | Case Manager/Care Coordinator | 768 Pleasant Valley Rd, Ste 304, Diamond Springs, CA 95619 | 2010-10-20 |
Street Address |
580 NORTH CHURCH STREET |
City | SWANSEA |
State | SC |
Zip Code | 29160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
1528314465 | Heritage Family Dentistry, LLC | Dentist | 533 Saint Matthews Road, Swansea, SC 29160 | 2012-07-30 |
1770727190 | Personal Touch Homecare,llc | Home Health | 335 W. Third St., Swansea, SC 29160 | 2009-04-29 |
1952582603 | Kristy Michelle Wolff | Nurse Practitioner | 935 West 2nd St, Swansea, SC 29160 | 2007-11-23 |
1821021254 | Lexington County Health Services District Inc | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-09 |
1174543409 | Dale Blizzard | Family Medicine | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-20 |
1730105735 | Lexington County Health Services District, Inc. | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-14 |
1629194220 | Joseph B Workman IIi | Dentist | 533 St Matthews Rd, Swansea, SC 29160-0624 | 2007-03-22 |
1861797128 | Palmetto Senior Advocate | Health Maintenance Organization | 3064 Pine Plain Road, Swansea, SC 29160-0656 | 2011-01-18 |
1831167873 | Discount Drug of Swansea | Pharmacy | 290 West Third Street, Swansea, SC 29160-0985 | 2006-03-08 |
Find all providers in zip 29160 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578832481 | Wendy Carol Arneson | Counselor | 34 Huntwood Ct, Swansea, IL 62226-1095 | 2011-12-21 |
1891005278 | Catherine Ann Daesch | Counselor | 208 West Pointe Dr., Suite B, Swansea, IL 62226 | 2010-10-19 |
1083845424 | Kimberly Noel Rydgig | Counselor | 208 W Pointe Dr, Suite B, Swansea, IL 62226-8302 | 2009-08-03 |
1902055338 | Mindy Harms-coleman | Counselor | 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 | 2008-09-10 |
1174737175 | Rebecca Marie Green | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2007-05-09 |
1669514170 | Harold Jerry Mizner | Counselor | 135 New Meadow Rd, Swansea, MA 02777-3347 | 2007-02-12 |
1609930486 | Kathryn Klee | Counselor | 110 Fullerton Rd, Swansea, IL 62226-2902 | 2006-12-19 |
1407460652 | Joshua Luther | Counselor | 1 Bronze Point, Swansea, IL 62226 | 2020-09-04 |
1831712900 | Terry Turner | Counselor | 4132 Woodland Park Dr, Swansea, IL 62226-8554 | 2020-05-24 |
1225660079 | Christine Elaine Benton | Counselor | 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 | 2020-02-10 |
Find all providers in SWANSEA |
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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.