CRYSTAL MOORE (NPI# 1639411309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639411309 |
| Entity Type | Individual |
| Full Name | CRYSTAL MOORE |
| Credential | LMSW |
| Practice Address |
9 Roux 61 Dr Ste C Natchez MS 39120-2176 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 6018978100 |
| Practice Fax Number | 6018978111 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M6567 | MS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1701 White St, Mccomb, MS 396482711 | 6016842173 | 6012494234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| 1356887657 | Crystal Moore | Social Worker | 5 Court St Ste 42, Norwich, NY 13815-1695 | 2017-01-10 |
| Street Address |
9 ROUX 61 DR STE C |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734492 | Brandi Stewart | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| 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 |
|---|---|---|---|---|
| 1194193474 | Alicia Norris | Social Worker | 101 Saint Charles Ave, Natchez, MS 39120-3557 | 2015-09-03 |
| 1407467699 | Twanza Conner | Social Worker | 9 Roux 61 Dr, Natchez, MS 39120-2176 | 2020-08-12 |
| 1649734492 | Brandi Stewart | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2019-01-25 |
| 1346774668 | Annie White | Social Worker | 104 S Canal St, Natchez, MS 39120-3499 | 2017-04-13 |
| 1558894550 | Nicole Eva Gales | Social Worker | 418 Liberty Rd, Natchez, MS 39120-4314 | 2017-04-06 |
| 1174054829 | Carolyn R Read | Social Worker | 123 Jefferson Davis Blvd, Natchez, MS 39120-5103 | 2017-03-24 |
| 1104835081 | Margaret Michelle Donald | Social Worker | 54 Seargent S Prentiss Dr, Natchez, MS 39121-1488 | 2006-08-07 |
| 1639187511 | Natchez Regional Medical Center | Social Worker | 54 Seargent S Prentiss Dr, Natchez, MS 39120 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1447868385 | Damaris Gomez-gliliam | Social Worker | 7921 Chesterfield Dr S, Southaven, MS 38671-6202 | 2020-07-16 |
| 1346864915 | Camp Reloaded LLC | Social Worker | 513 N Hayden St, Belzoni, MS 39038-3615 | 2020-05-29 |
| 1043833064 | Rachel C Denson | Social Worker | 2007 Wildwood Dr, Picayune, MS 39466-2178 | 2020-05-26 |
| 1417579137 | Jariva King | Social Worker | 9245 Cuandet Rd Apt 96, Gulfport, MS 39503-4763 | 2020-05-15 |
| 1891316006 | Shamekia Nichols | Social Worker | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-04-28 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1114563087 | Cory Dedual | Social Worker | 425 N Beech St, Picayune, MS 39466-3811 | 2019-11-26 |
| 1225671944 | Zakiya Anderson | Social Worker | 7572 Southaven Cir W, Southaven, MS 38671-5230 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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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.