Raquel Moore, MSW, LCSW | |
20 Whitlock, Marietta, GA 30033-4004 | |
(678) 797-9960 | |
Not Available |
Full Name | Raquel Moore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 20 Whitlock, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568516839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW002692 (Georgia) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
Mailing Address | Practice Location Address |
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Raquel Moore, MSW, LCSW 484 Halwick Way, Stone Mountain, GA 30083-4377 Ph: (404) 299-9960 | Raquel Moore, MSW, LCSW 20 Whitlock, Marietta, GA 30033-4004 Ph: (678) 797-9960 |
Laura Carolyn Jalbert, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2940 Johnson Ferry Rd Ste B-127, Marietta, GA 30062 Phone: 678-637-7166 Fax: 770-414-0804 | |
Bonita Jo Klopach, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste C-1, Marietta, GA 30062 Phone: 678-740-3757 Fax: 770-993-9800 | |
Mrs. Christina Marie Kight, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1507 Church Street Ext Ne, Marietta, GA 30060 Phone: 770-590-9075 | |
Bethany Verbrugge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2440 Sandy Plains Rd Bldg 26, Marietta, GA 30066 Phone: 616-594-0842 | |
Brittany Faith Jewett, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2130 Kingston Ct Se Ste E, Marietta, GA 30067 Phone: 678-304-8215 | |
Kurt Youngberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Anderson St Se Ste 101, Marietta, GA 30060 Phone: 714-482-5472 | |
Christin Post, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 145 Church St Ne Ste 105, Marietta, GA 30060 Phone: 404-618-6955 |