Mrs Kindra Denise Moore, LCSW #84940, CADC-II is a
Social Worker - Clinical based in San Diego, California. Mrs Kindra Denise Moore is licensed to practice in California (license number 84940) and her current practice location is
995 Gateway Center Way, Suite 300, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 398-2156.
NPI number for Mrs Kindra Denise Moore is 1730372483 and her current mailing address is 995 Gateway Center Way, Suite 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730372483.
Healthcare Provider's Profile
| Full Name | Mrs Kindra Denise Moore |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 995 Gateway Center Way, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730372483
- Provider Enumeration Date: 08/24/2007
- Last Update Date: 10/11/2018
Medical Identifiers
Medical identifiers for Mrs Kindra Denise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730372483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW63448 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 84940 (California) | 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. Mrs Kindra Denise 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 |
|---|
Mrs Kindra Denise Moore, LCSW #84940, CADC-II
995 Gateway Center Way, Suite 300,
San Diego, CA 92102-4500
Ph: (619) 398-2156 | Mrs Kindra Denise Moore, LCSW #84940, CADC-II
995 Gateway Center Way, Suite 300,
San Diego, CA 92102-4500
Ph: (619) 398-2156 |
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