MS. TINA R MOORE (NPI# 1770059420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770059420 |
| Entity Type | Individual |
| Full Name | MS. TINA R MOORE |
| Credential | MSW, LCSW |
| Practice Address |
3000 Cleveland Ave Ste 201 Santa Rosa CA 95403-2117 |
| Mailing Address |
113 Sierra Ct Cloverdale CA 95425-4472 |
| Practice Telephone | 7073874525 |
| Mailing Telephone | 7073918181 |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2018-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
27885 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1285018614 | Tina Moore | Technician, Other | 41943 Hensall St, Clinton Twp, MI 48038-1971 | 2015-07-15 |
| 1528576071 | Tina Marie Moore | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-01-18 |
| 1083088553 | Tina Moore | Skilled Nursing Facility | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-11-21 |
| 1033531181 | Tina Moore | Nurse Practitioner | 1860 N Church Rd, Liberty, MO 64068 | 2014-01-08 |
| 1760710966 | Tina Moore | Social Worker | 1681 Crown Ave, Suite 201, Lancaster, PA 17601-6303 | 2009-11-27 |
| 1467687855 | Tina Mckenzie Moore | Counselor | 2288 Second Street Pike Ste 6, Newtown, PA 18940-4108 | 2009-05-28 |
| 1851483523 | Tina L. Moore | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-09-29 |
| Street Address |
3000 CLEVELAND AVE STE 201 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069193 | Penelope L Salzgeber | Social Worker | 1815 Bodie St, Santa Rosa, CA 95403-2497 | 2020-10-06 |
| 1225696321 | Ari Mechles | Social Worker | 3434 Deer Trail Rd, Santa Rosa, CA 95404-1602 | 2019-06-03 |
| 1598231235 | Rosie Benzonelli | Social Worker | 850 Shady Oak Dr, Santa Rosa, CA 95404-2780 | 2018-10-21 |
| 1356824189 | Erica Joeverley Bosque | Social Worker | 405 Jackson Dr, Santa Rosa, CA 95409-4209 | 2018-09-07 |
| 1609389212 | Heather Ludvigson | Social Worker | 2301 Circadian Way Ste C, Santa Rosa, CA 95407-5457 | 2017-11-06 |
| 1386160208 | Caroline Crowell Healy | Social Worker | 1459 Glenbrook Dr, Santa Rosa, CA 95401-6019 | 2017-08-22 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1437525094 | Allison Mcconnell Pieraccini | Social Worker | 5926 Monte Verde Dr, Santa Rosa, CA 95409-3926 | 2015-08-18 |
| 1972847481 | Christina Zapata | Social Worker | 333 Benton St, Santa Rosa, CA 95401 | 2012-11-21 |
| 1467730432 | Jeane Taylor | Social Worker | 841 Shady Oak Dr, Santa Rosa, CA 95404-2781 | 2011-07-25 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on MS. TINA R 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.