DR. DEBRA JEAN MOORE (NPI# 1497064935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497064935 |
| Entity Type | Individual |
| Full Name | DR. DEBRA JEAN MOORE |
| Credential | LCSW |
| Practice Address |
404 Galleria Dr Ste 5 Oxford MS 38655-4383 |
| Mailing Address |
68 County Road 398 Taylor MS 38673-4600 |
| Practice Telephone | 6626786430 |
| Mailing Telephone | 6626786430 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CO642 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174863765 | Debra Elaine Moore | Speech-Language Pathologist | 17 Mills Ln, East Setauket, NY 11733-3805 | 2013-02-19 |
| 1548530868 | Debra M Moore | Veterinarian | 155 Heights Ave, Inverness, FL 34452-4573 | 2012-01-03 |
| 1043379449 | Debra Ann Moore | Technician/Technologist | 269 West Vincennes St, Linton, IN 47441 | 2006-12-08 |
| 1235148602 | Debra L. Moore | Psychologist | 805 Church St, Decatur, GA 30030-1870 | 2006-08-05 |
| 1912468349 | Debra Moore | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2019-03-28 |
| 1386116606 | Debra Moore | Clinic/Center | 650 Phipps Blvd Ne, Atlanta, GA 30326-3200 | 2018-12-27 |
| 1104168806 | Debra Moore | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-03-20 |
| 1750630497 | Debra Lynn Moore | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2012-09-07 |
| 1366689333 | Debra Lynn Moore | Nurse Practitioner | 1917 S Main St, Findlay, OH 45840-1208 | 2009-01-13 |
| 1457596553 | Debra J Moore | Counselor | 1501 Sumter Street, Pastoral Counseling Service, Columbia, SC 29201-2928 | 2008-12-04 |
| Street Address |
404 GALLERIA DR STE 5 |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1770193559 | Brian Droubay | Social Worker | 703 Meadowlake Cv, Oxford, MS 38655-9662 | 2020-08-05 |
| 1518525518 | Jennifer Decre Boretti | Social Worker | 2154 Eagles Wing Ln, Oxford, NC 27565-7934 | 2019-06-04 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1154985422 | Anna Roosevelt | Social Worker | 303 N 3rd St # 2, Oxford, PA 19363-1429 | 2019-04-23 |
| 1427512029 | Lasonia Williams | Social Worker | 182 Alan Dr, Oxford, AL 36203-4116 | 2019-01-28 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1396220109 | Kelly Marie Morse | Social Worker | 20 Toria Heights Rd, Oxford, MA 01540-2071 | 2018-09-27 |
| 1598270357 | Victoria Douglas | Social Worker | 12399 Ne 51st Ter, Oxford, FL 34484-9610 | 2017-12-02 |
| 1164977260 | Ccare Counseling LLC | Social Worker | 507 S College Ave Ste F, Oxford, OH 45056-2211 | 2016-08-18 |
| 1558720730 | Dilisa Toles | Social Worker | 152 Highway 7 South, Oxford, Ms 38655, Oxford, MS 38655-5392 | 2016-02-17 |
| Find all providers in OXFORD | ||||
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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.