Vivian M Moore (NPI# 1629170139, PAC ID# 0446448005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1629170139 |
| PAC ID by PECOS | 0446448005 |
| Professional Enrollment ID | I20101223000064 |
| Full Name | Vivian M Moore |
| Organization Legal Name | KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS |
| Address |
15999 W 12 Mile Rd Kadima Southfield MI 48076-3013 |
| Phone Number | 2485598235 |
| Gender | F |
| Graduation Year | 1989 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6305851742 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15999 W 12 Mile Rd, Kadima, Southfield, MI 48076-3013 | 2485598235 | KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS |
| 15999 W 12 Mile Rd, Southfield, MI 48076-3013 | 2485598235 | KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS |
| Organization Legal Name | KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS |
| Physicians | 1 |
| Street Address |
15999 W 12 MILE RD KADIMA |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48076-3013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Bakalar | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Raka Mahajan | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Lyle S Grant | Family Medicine | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | |
| Katherine R Shaw | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Rao S Botta | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Suresh Anne | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Iqbal A Nasir | General Practice | 18161 W 13 Mile Rd, D4, Southfield, MI 48076-1113 | |
| Carolyn Elaine Guidot | Internal Medicine | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Jennifer R Hankinson | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, E1, Southfield, MI 48076-1113 |
| Susan Hyde Bakker | Clinical Social Worker | Personal and Family Adjustment Center PC | 30555 Southfield Rd, Suite 510, Southfield, MI 48076-1221 |
| Find all physicians in zip 48076 | |||
| City | SOUTHFIELD |
| Zip Code | 48076 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SOUTHFIELD + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Vivian M Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.