JEANETTE L MOORE (NPI# 1962536417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962536417 |
| Entity Type | Individual |
| Full Name | JEANETTE L MOORE |
| Credential | LCSW |
| Practice Address |
105 Se 45th St Oklahoma City OK 73129-3201 |
| Mailing Address |
6100 S Walker Ave Oklahoma City OK 73139-7026 |
| Practice Telephone | 4056344400 |
| Practice Fax Number | 4056321976 |
| Mailing Telephone | 4056344400 |
| Mailing Fax Number | 4056321976 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1988 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527478 | Jeanette Moore | Contractor | 7408 Estes Park Ave Nw, Albuquerque, NM 87114-3944 | 2016-09-21 |
| 1063599074 | Jeanette D Moore | Nurse Practitioner | 25495 Medical Center Dr Ste 300, Murrieta, CA 92562-4904 | 2006-11-01 |
| Street Address |
105 SE 45TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73129-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295848026 | Teresa Jean Thornhill | Social Worker | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2006-08-16 |
| 1366878324 | Emily Sue Howard | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-09-23 |
| 1669806691 | Tierra L Brown | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-08-27 |
| 1306279856 | Jessica Bustos | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-08-19 |
| 1104267723 | William C White | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-07-11 |
| 1730520354 | Haley E Brown | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-07-11 |
| 1952742892 | Bettina Jean Chappell | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-07-08 |
| 1376982926 | Trina Y Thurmond | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-06-17 |
| 1790122406 | Lori R Finley | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-06-04 |
| 1235573718 | Crystal M Hoffman | Counselor | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2013-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291098 | Homero Rivera | Case Manager/Care Coordinator | 105 Se 30th St., Oklahoma City, OK 73129 | 2017-05-04 |
| 1437515038 | Arturo Pinon | Case Manager/Care Coordinator | 617 Se 18th St., Oklahoma City, OK 73129 | 2016-01-12 |
| 1578969283 | Ramona Paulette Gregory | Case Manager/Care Coordinator | 116 Se 22nd St, Oklahoma City, OK 73129 | 2014-11-06 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1861725301 | Nicholle Marie Verhines | Counselor | 744 S.e. 25th Street, Oklahoma City, OK 73129 | 2009-09-16 |
| 1174728620 | Lindsay Renae Sullivan | Counselor | 744 Se 25th St., Oklahoma City, OK 73129 | 2007-06-15 |
| 1780776153 | Laura Christine Balliett-box | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-09-29 |
| 1639451511 | Christina Dawn Adkins | Pharmacist | 4500 S Shields Blvd, Oklahoma City, OK 73129 | 2011-09-15 |
| 1235255746 | Felicia Dawn Cummings | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2007-03-22 |
| 1427134022 | Cyvil Brion Burks | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-10-27 |
| Find all providers in zip 73129 | ||||
| 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 |
|---|---|---|---|---|
| 1700411170 | Braden Bowles | Social Worker | 1841 Exchange Ave, Oklahoma City, OK 73108-3022 | 2020-03-06 |
| 1619501061 | Terry Snow | Social Worker | 600 Sw 134th St, Oklahoma City, OK 73170-7307 | 2020-02-25 |
| 1104459395 | Mary Madonna LLC | Social Worker | 5808 Nw 109th St, Oklahoma City, OK 73162-5836 | 2020-02-17 |
| 1811558679 | Sydney Concha | Social Worker | 5131 N Classen Blvd # 110, Oklahoma City, OK 73118-5258 | 2019-06-24 |
| 1609377753 | Shundrika Scott | Social Worker | 620 Nw 120th St, Oklahoma City, OK 73114-8309 | 2018-02-23 |
| 1821597386 | Meditelecare of Oklahoma, LLC | Social Worker | 1833 S Morgan Rd, Oklahoma City, OK 73128-7004 | 2018-02-09 |
| 1134628076 | Karyll V. Honeycutt | Social Worker | 2737 Nw 140th St Apt 903, Oklahoma City, OK 73134-6177 | 2018-02-06 |
| 1417455122 | Natalie Biddinger Haymaker | Social Worker | 2924 Huntleigh Dr, Oklahoma City, OK 73120-2503 | 2018-01-28 |
| 1336654573 | Bright Transitions, LLC | Social Worker | 4416 N Western Ave Ste 201, Oklahoma City, OK 73118-5256 | 2017-12-11 |
| 1427568096 | Jennilee Flores | Social Worker | 5350 S Western Ave Ste 709, Oklahoma City, OK 73109-4537 | 2017-10-09 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
Please comment or provide details below to improve the information on JEANETTE L 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.