Miss Kimberly Moore, LCSW is a
Social Worker based in New York, New York. Miss Kimberly Moore is licensed to practice in New York (license number 72093533) and her current practice location is
117 W 130th St, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 423-2565.
NPI number for Miss Kimberly Moore is 1336596790 and her current mailing address is 223 West 131st Street, Suite 1r, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336596790.
Healthcare Provider's Profile
| Full Name | Miss Kimberly Moore |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 117 W 130th St, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336596790
- Provider Enumeration Date: 05/16/2016
- Last Update Date: 02/16/2024
Medical Identifiers
Medical identifiers for Miss Kimberly Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336596790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18852 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 091234 (New York) | Secondary |
| 104100000X | Social Worker | 72093533 (New York) | 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. Miss Kimberly 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 |
|---|
Miss Kimberly Moore, LCSW
223 West 131st Street, Suite 1r,
New York, NY 10027
Ph: (347) 423-2565 | Miss Kimberly Moore, LCSW
117 W 130th St,
New York, NY 10027-2007
Ph: (347) 423-2565 |
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