DR. ELLEN MOORE (NPI# 1679016422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679016422 |
| Entity Type | Individual |
| Full Name | DR. ELLEN MOORE |
| Credential | LMSW |
| Practice Address |
4304 S Bearfield Rd Columbia MO 65201-9557 |
| Practice Telephone | 5738748686 |
| Practice Fax Number | 5738748608 |
| Mailing Telephone | 5738748686 |
| Mailing Fax Number | 5738748608 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2012014723 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881763779 | Ellen Cf Moore | Counselor | 18 Tulip Street, Lyndonville, VT 05851 | 2006-11-07 |
| 1841220936 | Ellen Moore | Social Worker | 3282 Adeline St, Berkeley, CA 94703-2439 | 2006-07-04 |
| 1285681445 | Ellen Cecile Moore | Pediatrics | 14 Woodridge Dr, Greenbrier, AR 72058-9583 | 2006-05-30 |
| 1992299515 | Ellen Moore | Family Medicine | 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI 49503-4692 | 2018-06-18 |
| 1639615768 | Ellen Peyton Moore | Nurse Practitioner | 122 Weisenberger Rd, Madison, MS 39110-7993 | 2017-01-12 |
| 1598123796 | Ellen Moore | Pharmacist | 381 Market Square Dr, Maysville, KY 41056-8721 | 2016-02-02 |
| 1427476571 | Ellen Elizabeth Moore | Speech-Language Pathologist | 115 Delafield Street, Poughkeepsie, NY 12601 | 2014-04-04 |
| 1144594797 | Ellen Elizabeth Moore | Speech-Language Pathologist | 12605 East Fwy, Suite 200, Houston, TX 77015-5625 | 2012-02-29 |
| 1407133606 | Ellen M Moore | Nurse Practitioner | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2011-11-16 |
| 1912226960 | Ellen Jane Moore | Internal Medicine | 800 E Cheves St, Suite 200, Florence, SC 29506-2650 | 2010-05-28 |
| Street Address |
4304 S BEARFIELD RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-9557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130648 | Melody Kaye Jorgenson | Social Worker | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2005-11-07 |
| 1578173571 | Sierra Ann-marie Craig | Social Worker | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2020-08-04 |
| 1205450327 | Tiawna Rose Johnson | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2020-06-04 |
| 1972146199 | Kevin Williams | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2019-10-21 |
| 1699323170 | Janet Alexa Robinson | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2019-08-28 |
| 1912553421 | Karen Michele Grace | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2019-08-12 |
| 1548730955 | Quaye Keanu Kaaihue | Social Worker | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2018-11-28 |
| 1184193682 | Brittany Grace Berry | Social Worker | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2018-11-14 |
| 1013496124 | Amy Michelle Evans | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2018-08-09 |
| 1295221729 | Becki Baird | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| 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 |
|---|---|---|---|---|
| 1932716172 | James Van Jefferson Jr. | Social Worker | 1228 Harden St Ste C, Columbia, SC 29204-1800 | 2020-09-30 |
| 1750995627 | Wynell Foy Frame | Social Worker | 10883 Beech Creek Dr, Columbia, MD 21044-1031 | 2020-09-08 |
| 1033720958 | Fern Cohen | Social Worker | 6416 Misty Top Pass, Columbia, MD 21044-6000 | 2020-08-13 |
| 1164032892 | Bobby Gamble | Social Worker | 4611 Hard Scrabble Rd Ste 261, Columbia, SC 29229-8584 | 2020-08-06 |
| 1356967343 | Demorrie Evans | Social Worker | 2414 Bull St Ste 201, Columbia, SC 29201-1906 | 2020-06-25 |
| 1831711761 | Cheryl Ruby Strait | Social Worker | 4500 Hard Scrabble Rd Apt 736, Columbia, SC 29229-9494 | 2020-05-14 |
| 1457980989 | Anna Olivia Eggebrecht | Social Worker | 14 Hampton Springs Ct, Columbia, SC 29209-1844 | 2020-04-06 |
| 1851926232 | Stephanie Dawn Cook | Social Worker | 10630 Little Patuxent Pkwy Ste 301, Columbia, MD 21044-6201 | 2020-03-06 |
| 1952935199 | Daniel Louis Goldman | Social Worker | 848 Ohio St, Columbia, SC 29201-4453 | 2020-02-26 |
| 1164060794 | Gabrielle Tipton | Social Worker | 6410 Dobbin Rd Ste F, Columbia, MD 21045-4774 | 2019-12-13 |
| Find all providers in COLUMBIA | ||||
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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.