Jacquelyn A Moore, LCSW | |
400 N Allen Dr, Allen, TX 75013-2555 | |
(972) 233-1010 | |
Not Available |
Full Name | Jacquelyn A Moore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 400 N Allen Dr, Allen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457133613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 52057 (Texas) | Primary |
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
Mailing Address | Practice Location Address |
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Jacquelyn A Moore, LCSW 708 Harvest Dr, Mckinney, TX 75072-5380 Ph: (125) 471-5837 | Jacquelyn A Moore, LCSW 400 N Allen Dr, Allen, TX 75013-2555 Ph: (972) 233-1010 |
Miss Catherine Phelps Campbell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 N Allen Dr Ste 204, Allen, TX 75013 Phone: 972-233-1010 Fax: 214-623-6692 | |
Mr. Kelvin Drew Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Allentown Pkwy Ste 206, Allen, TX 75002 Phone: 972-233-1010 Fax: 214-623-6692 | |
Denise Capurso, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Allentown Pkwy Ste 206, Allen, TX 75002 Phone: 972-743-7016 | |
Lora Hamilton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Allentown Pkwy Ste 206, Allen, TX 75002 Phone: 972-233-1010 | |
Mrs. Sonya Bolden, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 450 Century Pkwy Ste 250, Allen, TX 75013 Phone: 972-516-4320 Fax: 844-402-0972 | |
Deena Kyle Ott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 907 Hemingway Ct, Allen, TX 75002 Phone: 801-573-0240 | |
Mrs. Denise Michelle Newton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1333 W Mcdermott Dr Ste 200, Allen, TX 75013 Phone: 203-941-1884 Fax: 214-548-5994 |