Michelle Susan Moore, LCSW-C | |
377 Hawthorne Ct, Westminster, MD 21158-2030 | |
(410) 916-3108 | |
Not Available |
Full Name | Michelle Susan Moore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 377 Hawthorne Ct, Westminster, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619692985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11815 (Maryland) | Primary |
Entity Name | Bridginglife, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760673669 PECOS PAC ID: 4880797943 Enrollment ID: O20200409001983 |
Mailing Address | Practice Location Address |
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Michelle Susan Moore, LCSW-C 377 Hawthorne Ct, Westminster, MD 21158-2030 Ph: (410) 916-3108 | Michelle Susan Moore, LCSW-C 377 Hawthorne Ct, Westminster, MD 21158-2030 Ph: (410) 916-3108 |
Joyclyn R Agatone, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 59 Kate Wagner Rd., Westminster, MD 21157 Phone: 410-848-2500 Fax: 410-876-3016 | |
Ericka M Walters, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 77-81 E. Main Street, Suite 406, Westminster, MD 21157 Phone: 410-861-0073 | |
Constance Sgarlata, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 N Court St, Westminster, MD 21157 Phone: 410-876-1233 Fax: 410-876-4791 | |
Robin Brown, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 22 N Court St, Westminster, MD 21157 Phone: 410-876-1233 Fax: 410-876-4791 | |
Tracey Hongtong, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Memorial Ave, Westminster, MD 21157 Phone: 410-848-3000 | |
Mrs. Diane Marie Jones, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 Baltimore Blvd, Suite C, Westminster, MD 21157 Phone: 410-751-6176 | |
Nicole Rabinowitz, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 N Court St, Westminster, MD 21157 Phone: 410-876-1233 Fax: 410-876-4791 |