MISS MICHELLE MOFFITT (NPI# 1568916534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568916534 |
| Entity Type | Individual |
| Full Name | MISS MICHELLE MOFFITT |
| Credential | RSW |
| Practice Address |
2401 West St Winnsboro LA 71295 |
| Mailing Address |
3625 Youree Dr Shreveport LA 71105-2121 |
| Practice Telephone | 3184354651 |
| Mailing Telephone | 3186570804 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 11568916534 | 05 | |
| LA | 1568916534 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 712 First St, Delhi, LA 712322421 | 3188786696 | 3188786698 |
| 806 N 31st St Ste B, Monroe, LA 71201 | 3187377794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770738239 | Michelle B Moffitt | Physician Assistant | 5950 Sr 6, 4th Floor, Tunkhannock, PA 18657-7905 | 2008-11-25 |
| Street Address |
2401 WEST ST |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437517976 | Racine Bridges | Counselor | 2401 West St, Winnsboro, LA 71295-3842 | 2016-01-28 |
| 1700392198 | Mary Ogden | Counselor | 2401 West St, Winnsboro, LA 71295-3842 | 2017-12-20 |
| 1932638442 | Veronica Thomas | Counselor | 2401 West St, Winnsboro, LA 71295-3842 | 2017-06-08 |
| 1508301912 | Rehabilitation Services of Louisiana, LLC | Community/Behavioral Health | 2401 West St, Winnsboro, LA 71295-3842 | 2016-12-21 |
| 1407306053 | Chatara Terry | Social Worker | 2401 West St, Winnsboro, LA 71295 | 2016-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997336 | Olevia Nicole Griffin | Case Manager/Care Coordinator | 467 Jim Albert Rd, Winnsboro, LA 71295-5655 | 2018-10-02 |
| 1669986527 | Lasha Lynch | Case Manager/Care Coordinator | 1208 Ruth St, Winnsboro, LA 71295-3624 | 2017-11-29 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1528414190 | Broderick Grant | Case Manager/Care Coordinator | 2511 Gary St, Winnsboro, LA 71295-2339 | 2016-05-12 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1316565807 | Sierra Horsley | Case Manager/Care Coordinator | 2406 West St, Winnsboro, LA 71295-3843 | 2020-07-10 |
| 1144732116 | Tamaro Hudson Cleveland | Case Manager/Care Coordinator | 2406 West St, Winnsboro, LA 71295 | 2017-10-31 |
| 1841720646 | Shemeka Shanta Wilson | Case Manager/Care Coordinator | 2406 West St, Winnsboro, LA 71295 | 2017-06-14 |
| 1336677327 | Shalisa Rena Jefferson | Case Manager/Care Coordinator | 2406 West St, Winnsboro, LA 71295 | 2017-06-02 |
| Find all providers in WINNSBORO | ||||
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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.