Ms Kristy L Moore, MSW | |
201 Mulholland St, Bay City, MI 48708-7693 | |
(989) 895-2205 | |
Not Available |
Full Name | Ms Kristy L Moore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 201 Mulholland St, Bay City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619918869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801084770 (Michigan) | Primary |
Entity Name | Community Mental Health For Central Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040424000125 |
Mailing Address | Practice Location Address |
---|---|
Ms Kristy L Moore, MSW 2633 N Peterson Dr, Sanford, MI 48657-9487 Ph: (989) 687-7859 | Ms Kristy L Moore, MSW 201 Mulholland St, Bay City, MI 48708-7693 Ph: (989) 895-2205 |
June Robbins, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 721 Washington Ave Ste 300, Bay City, MI 48708 Phone: 989-686-4638 | |
Megan Joy Vanever, L.L.M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 N Madison Ave, Bay City, MI 48708 Phone: 989-895-2697 | |
Rebecca A Gettel Prout, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Center Ave Apt 403, Bay City, MI 48708 Phone: 989-670-3454 | |
Lorraine Haley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1308 Columbus Ave, Ste 102, Bay City, MI 48708 Phone: 989-980-4872 Fax: 989-894-8051 | |
Mollie Sue Ferguson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 690 S Trumbull, Bay City, MI 48708 Phone: 989-922-4900 Fax: 989-922-4911 | |
Michella Harless, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Mulholland St, Bay City, MI 48708 Phone: 989-895-2300 | |
Todd Butterfield, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Washington Ave, Bay City, MI 48708 Phone: 989-684-7977 |