| Jennifer De'shae Moore, LCSW | |
|
1735 Keller Springs Rd Ste 202, Carrollton, TX 75006-3006 | |
| (888) 472-2192 | |
| Not Available |
| Full Name | Jennifer De'shae Moore |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1735 Keller Springs Rd Ste 202, Carrollton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922873926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 64153 (Texas) | Primary |
| Entity Name | Assurasource Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
| Entity Name | Senior Psychological Care Dallas I Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer De'shae Moore, LCSW 1735 Keller Springs Rd Ste 202, Carrollton, TX 75006-3006 Ph: (888) 472-2192 | Jennifer De'shae Moore, LCSW 1735 Keller Springs Rd Ste 202, Carrollton, TX 75006-3006 Ph: (888) 472-2192 |
Noelle Marie Cloward, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W Jackson Rd, Carrollton, TX 75006 Phone: 972-242-2182 | |
Hector Alejandro Soto, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1573 Kessler Dr, Carrollton, TX 75006 Phone: 214-680-0422 | |
Suni Antony, LCSW-S, LCDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4425 Plano Pkwy Ste 704, Carrollton, TX 75010 Phone: 908-420-9054 | |
Mrs. Maranda Nicole Kano, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W Jackson Rd, Carrollton, TX 75006 Phone: 972-242-2182 | |
Cynthia R Romig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 King Arthur Blvd, Carrollton, TX 75010 Phone: 504-621-4809 | |
Miss Jordan Holley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1231 Stillwater Trl, Carrollton, TX 75007 Phone: 214-794-1310 | |
Amber Malooly, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 Hartford Dr, Carrollton, TX 75007 Phone: 413-512-1239 |