Cheriece M Moore, LISW is a
Social Worker - Clinical based in Columbus, Ohio. Cheriece M Moore is licensed to practice in Ohio (license number I.2204090) and her current practice location is
399 E Main St, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 355-8550.
NPI number for Cheriece M Moore is 1639683840 and her current mailing address is 700 Childrens Dr, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639683840.
Healthcare Provider's Profile
| Full Name | Cheriece M Moore |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 399 E Main St, Columbus, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639683840
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 03/14/2023
Medical Identifiers
Medical identifiers for Cheriece M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639683840 | NPI | - | NPPES |
| 1473276 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.151224 (Ohio) | Secondary |
| 104100000X | Social Worker | S.1501378 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2204090 (Ohio) | 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. Cheriece M 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 |
|---|
Cheriece M Moore, LISW
700 Childrens Dr,
Columbus, OH 43205-2639
Ph: (614) 722-2000 | Cheriece M Moore, LISW
399 E Main St,
Columbus, OH 43215-5384
Ph: (614) 355-8550 |
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