PHYLLIS R MOORE (NPI# 1528136744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528136744 |
| Entity Type | Individual |
| Full Name | PHYLLIS R MOORE |
| Other Name | PHYLLIS JEANNE RENTMEESTER |
| Credential | MSW |
| Practice Address |
218 N Washington St Phyllis R Moore Lcswr Rome NY 13440 |
| Mailing Address |
3892 Fountain St Clinton NY 13323 |
| Practice Telephone | 3153373849 |
| Practice Fax Number | 3153372433 |
| Mailing Telephone | 3158535881 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | R0287683 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02304709 | 05 | |
| GHI | 7401068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134330483 | Phyllis C. Moore | Speech-Language Pathologist | 5111 Laird Ln, Jupiter, FL 33458-4095 | 2007-05-25 |
| 1497130017 | Phyllis Eugenia Moore | Nurse Practitioner | 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 | 2015-07-24 |
| 1023374279 | Phyllis P Moore | Nurse Practitioner | 600 Main St, Friendship, TN 38034-1999 | 2012-04-02 |
| 1235407248 | Phyllis Ann Moore | Nurse Practitioner | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2011-12-05 |
| 1467744979 | Phyllis S Moore | Clinical Nurse Specialist | 940 Belmont St, Mclean Hospital Southeast Location, Brockton, MA 02301-5596 | 2011-05-03 |
| 1164657706 | Phyllis Moore | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-05-27 |
| 1528125747 | Phyllis Jane Moore | Nurse Practitioner | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2007-01-03 |
| 1407940604 | Phyllis Diane Moore I | Physical Therapy Assistant | 2710 Trotwood Ave, Columbia, TN 38401-4903 | 2006-10-03 |
| Street Address |
218 N WASHINGTON ST PHYLLIS R MOORE LCSWR |
| City | ROME |
| State | NY |
| Zip Code | 13440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386661031 | Rome Evaluation & Therapy | Social Worker | 218 N Washington St, Rome, NY 13440-5725 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1750876983 | Thomas L Murphy | Social Worker | 8163 Gore Rd, Rome, NY 13440-1701 | 2018-06-29 |
| 1396119459 | Sonia Wiggins | Social Worker | 7 Hearthwood Dr Sw, Rome, GA 30165-3808 | 2015-11-30 |
| 1083015853 | Denise Patricia Laribee | Social Worker | 8348 Old Floyd Rd, Rome, NY 13440-0546 | 2014-09-11 |
| 1962802991 | Brittany H Bogardus | Social Worker | 1002 Black River Blvd N, Rome, NY 13440-3539 | 2014-08-27 |
| 1841530227 | Emily Laurey | Social Worker | 614 Calvert St, Rome, NY 13440-3902 | 2013-02-22 |
| 1295012029 | Michael Anthony Scalzo | Social Worker | 195 W Dominick St., Rome, NY 13440 | 2011-11-08 |
| 1396029682 | Katie Larock | Social Worker | 199 W Dominick St, Rome, NY 13440-5855 | 2011-10-05 |
| 1124570452 | Mindy Sue Possemato | Social Worker | 227 W Dominick St, Rome, NY 13440-5859 | 2016-11-03 |
| 1992155014 | Evan Smith | Social Worker | 199 W Dominick St, Rome, NY 13440-5858 | 2016-06-20 |
| Find all providers in ROME | ||||
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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.