Mrs Krishna Santasha Moore, LCSW is a
Social Worker - Clinical based in Forest, Mississippi. Mrs Krishna Santasha Moore is licensed to practice in Mississippi (license number C6811) and her current practice location is
612 Marion Blvd, Forest, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 604-0519.
NPI number for Mrs Krishna Santasha Moore is 1356744114 and her current mailing address is 612 Marion Blvd, Forest, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356744114.
Healthcare Provider's Profile
Full Name | Mrs Krishna Santasha Moore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 612 Marion Blvd, Forest, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356744114
- Provider Enumeration Date: 10/07/2014
- Last Update Date: 10/07/2014
Medical Identifiers
Medical identifiers for Mrs Krishna Santasha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356744114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C6811 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Krishna Santasha Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Krishna Santasha Moore, LCSW 612 Marion Blvd, Forest, MS 39074-3225 Ph: (601) 604-0519 | Mrs Krishna Santasha Moore, LCSW 612 Marion Blvd, Forest, MS 39074-3225 Ph: (601) 604-0519 |
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