Jennifer E Moore, LCSW | |
5362 Lemee Ln, Mariposa, CA 95338-9556 | |
(209) 966-2000 | |
Not Available |
Full Name | Jennifer E Moore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5362 Lemee Ln, Mariposa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922335264 | NPI | - | NPPES |
LCSW84186 | Other | CA | LICENSED CLINICAL SOCIAL WORKER |
63807 | Other | CA | ASSOCIATE CLINICAL SOCIAL WORKER ASW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | County Of Mariposa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134268709 PECOS PAC ID: 2163508219 Enrollment ID: O20080328000717 |
Entity Name | Wellmind.online Ca Licensed Clinical Social Worker Prof. Corp. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447871272 PECOS PAC ID: 5193136646 Enrollment ID: O20210427000465 |
Mailing Address | Practice Location Address |
---|---|
Jennifer E Moore, LCSW Po Box 5008, Pmb 344, Mariposa, CA 95338-0099 Ph: (209) 214-8687 | Jennifer E Moore, LCSW 5362 Lemee Ln, Mariposa, CA 95338-9556 Ph: (209) 966-2000 |
Sydney Forga, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5362 Lemee Ln, Mariposa, CA 95338 Phone: 209-742-0842 | |
David W. Goger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3908 Ben Hur Rd, Mariposa, CA 95338 Phone: 209-742-7618 | |
Carrie J Maddox, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6986 Scott Rd, Mariposa, CA 95338 Phone: 209-966-7095 | |
Karen Rust, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5037 Stroming Rd, Mariposa, CA 95338 Phone: 209-966-2000 Fax: 209-966-8251 | |
Jessica Boerner-grissom, SW IV Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5362 Lemee Lane, Mariposa, CA 95338 Phone: 209-966-2000 Fax: 209-966-8251 | |
Ms. Betty Jone Massey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 Fax: 209-966-8438 | |
Debra A Hutchins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3736 Jones Creek Rd, Mariposa, CA 95338 Phone: 512-293-1486 |