Mrs Lisa Renee Moore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charleston, Mississippi. Her current practice location is
3005 Teasdale Rd, Charleston, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 809-0208.
Mrs Lisa Renee Moore is licensed to practice in Mississippi (license number C2276) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922778935.
Healthcare Provider's Profile
Full Name | Mrs Lisa Renee Moore |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3005 Teasdale Rd, Charleston, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Lisa Renee Moore attended and graduated from in
NPI Data:
- NPI Number: 1922778935
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 09/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Lisa Renee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922778935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C2276 (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 Lisa Renee Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa Renee Moore, LCSW 3005 Teasdale Rd, Charleston, MS 38921-9576 Ph: (662) 809-0208 | Mrs Lisa Renee Moore, LCSW 3005 Teasdale Rd, Charleston, MS 38921-9576 Ph: (662) 809-0208 |
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