MRS. SUSAN I MOORE (NPI# 1679798417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679798417 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN I MOORE |
| Credential | BA,CAC-AD |
| Practice Address |
122 Langley Rd N Ste A Glen Burnie MD 21060-6539 |
| Mailing Address |
1294 Breckenridge Cir Riva MD 21140-1341 |
| Practice Telephone | 4102226725 |
| Practice Fax Number | 4102226748 |
| Mailing Telephone | 4102226725 |
| Mailing Fax Number | 4102226748 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACO239 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526971 | Susan Josephine Moore | Developmental Therapist | 302 Glenwood Dr, 201, Bloomingdale, IL 60108-3318 | 2013-05-29 |
| 1134400864 | Susan John Moore | Nurse Practitioner | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 | 2011-09-08 |
| 1265735435 | Susan Annette Moore | Registered Nurse | 589 Oak Hill Branch Rd, South Webster, OH 45682-9094 | 2010-12-09 |
| 1881903896 | Susan Renee Moore | Specialist | 9030 Monticello Rd, Wesson, MS 39191-9027 | 2010-09-26 |
| 1699097964 | Susan A. Moore | Speech-Language Pathologist | 114 Langdell Road, Hyde Park, VT 05655 | 2010-02-26 |
| 1336470715 | Susan Marie Moore | Social Worker | 3298 Silver Ridge Ct, Hermitage, PA 16148-6082 | 2010-01-25 |
| 1659511350 | Susan P Moore | Physical Therapist | 4747 N Ocean Dr, Ste 261, Lauderdale By The Sea, FL 33308-2947 | 2009-02-20 |
| 1760683817 | Susan Sharon Moore | Dietitian, Registered | 1200 S Arlington Ridge Rd, # 610, Arlington, VA 22202-1952 | 2007-05-29 |
| 1336158450 | Susan M Moore | Nurse Practitioner | 111 N 175th St, Omaha, NE 68118-3579 | 2006-08-07 |
| 1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
| Street Address |
122 LANGLEY RD N STE A |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21060-6539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881819647 | Rebecca Ruppert | Social Worker | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6539 | 2007-04-16 |
| 1528682572 | Caroline Robertson | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | 2020-06-05 |
| 1164900767 | Erin Martin | Marriage & Family Therapist | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | 2018-08-06 |
| 1881107860 | Elizabeth Ann Rowe | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | 2017-11-13 |
| 1861780033 | Octavia Guilbault | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060 | 2011-07-21 |
| 1174819320 | Jason Sutton | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | 2011-06-27 |
| 1134424237 | Laurie Elaine Warnke | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | 2011-01-20 |
| 1699935841 | Silvana Rossi | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | 2008-06-11 |
| 1942494513 | Patricia Anne Brannan | Counselor | 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6539 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841821998 | Maria De Los Angeles Alvarez | Home Health Aide | 720 Rollings Lane, Glen Burnie, MD 21060 | 2020-01-28 |
| 1124676200 | Alliance Health Services, LLC | Home Health | 313 Dark Star Way, Glen Burnie, MD 21060 | 2019-08-30 |
| 1902376577 | Karen Marie Huyssoon | Speech-Language Pathologist | 1450 Furnace Avenue, Glen Burnie, MD 21060 | 2018-11-27 |
| 1962917864 | Chantal Tchoumba | Nurse Practitioner | 7704 Abrams Ln, Glen Burnie, MD 21060 | 2017-12-13 |
| 1710271028 | Anne Arundel County Dept. of Health | Clinic/Center | 600 East Ordnance Road, Glen Burnie, MD 21060 | 2011-06-03 |
| 1801124524 | Hope Chiropractic and Wellness | Chiropractor | 7517 Calais Way, Glen Burnie, MD 21060 | 2009-11-19 |
| 1669680534 | Sally Elizabeth Engel Poling | Occupational Therapist | 200 Scott Avenue, Glen Burnie, MD 21060 | 2007-05-21 |
| 1891851754 | Amy E Recce | Chiropractor | 7231 B Ritchie Hwy, Glen Burnie, MD 21060 | 2006-12-28 |
| 1386700243 | Amy & Anthony Recce Dc Pa | Chiropractor | 7231 B Ritchie Highway, Glen Burnie, MD 21060 | 2006-12-28 |
| 1306924386 | Marcus Lavelle Meadows | Optometrist | 6721 Chesapeake Center Drive, Glen Burnie, MD 21060 | 2006-11-01 |
| Find all providers in zip 21060 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096428 | Issiaih House 1 | Counselor | 2301 Dorsey Rd, Glen Burnie, MD 21061-3299 | 2020-02-28 |
| 1205460284 | Issiaih House 1 | Counselor | 1406b Crain Hwy S Ste 201, Glen Burnie, MD 21061-4336 | 2020-02-27 |
| 1326605858 | Wellness Rx Corporation | Counselor | 7310 Ritchie Hwy Ste 512, Glen Burnie, MD 21061-3099 | 2019-05-21 |
| 1134661077 | Stephanie Campbell | Counselor | 1412 Crain Hwy N Ste 1b, Glen Burnie, MD 21061-9306 | 2016-11-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1538400775 | James Steffan Collins IIi | Counselor | 1410 Crain Hwy N Ste 5b, Glen Burnie, MD 21061-9304 | 2013-03-13 |
| 1417197310 | Leon Flemembaum | Counselor | 550 Crain Hwy N Ste 8, Glen Burnie, MD 21061-3057 | 2009-03-05 |
| 1801912225 | Alcohol & Drug Intervention | Counselor | 7458 B A Blvd, Glen Burnie, MD 21061 | 2007-03-21 |
| 1568599637 | Recovery Resources Group | Counselor | 2 B Crain Highway Sw, Glen Burnie, MD 21061 | 2007-02-27 |
| 1801945001 | Clean and Sober | Counselor | 8 Crain Hwy N, Unit C, Glen Burnie, MD 21061-3559 | 2007-01-09 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21060 |
Please comment or provide details below to improve the information on MRS. SUSAN I MOORE.
| 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.