Ms Latonya Rayette Moore, LCSW - Clinical Social Worker in Detroit, MI

Ms Latonya Rayette Moore, LCSW is a Social Worker - Clinical based in Detroit, Michigan. Ms Latonya Rayette Moore is licensed to practice in Michigan (license number 6801117567) and her current practice location is 18103 Woodingham Dr, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (980) 365-9933.

NPI number for Ms Latonya Rayette Moore is 1871794917 and her current mailing address is 18103 Woodingham Dr, Detroit, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871794917.

Contact Information

Ms Latonya Rayette Moore, LCSW
18103 Woodingham Dr,
Detroit, MI 48221-2560
(980) 365-9933
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Latonya Rayette Moore
GenderFemale
SpecialitySocial Worker - Clinical
Location18103 Woodingham Dr, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871794917
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 09/20/2024

Medical Identifiers

Medical identifiers for Ms Latonya Rayette Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871794917NPI-NPPES
6106306MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C004849 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical LC302977 (District Of Columbia)Secondary
1041C0700XSocial Worker - Clinical 10601 (Maryland)Secondary
1041C0700XSocial Worker - Clinical 0904010540 (Virginia)Secondary
1041C0700XSocial Worker - Clinical 6801117567 (Michigan)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. Ms Latonya Rayette 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 AddressPractice Location Address
Ms Latonya Rayette Moore, LCSW
18103 Woodingham Dr,
Detroit, MI 48221-2560

Ph: (980) 365-9933
Ms Latonya Rayette Moore, LCSW
18103 Woodingham Dr,
Detroit, MI 48221-2560

Ph: (980) 365-9933

Reviews and Comments


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