Michael Dean Moore, LCSW is a
Social Worker - Clinical based in Salt Lake City, Utah. Michael Dean Moore is licensed to practice in Utah (license number 11050369-3501) and his current practice location is
501 S Chipeta Way, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 583-2500.
NPI number for Michael Dean Moore is 1790233393 and his current mailing address is 501 S Chipeta Way, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790233393.
Healthcare Provider's Profile
Full Name | Michael Dean Moore |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 501 S Chipeta Way, Salt Lake City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790233393
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 03/06/2024
Medical Identifiers
Medical identifiers for Michael Dean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790233393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 11050369-3501 (Utah) | 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. Michael Dean 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 |
Michael Dean Moore, LCSW 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 583-2500 | Michael Dean Moore, LCSW 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 583-2500 |
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