Mrs Laura Jean Moore, LBSW, CADC is a
Social Worker based in Waterford, Michigan. Mrs Laura Jean Moore is licensed to practice in Michigan (license number 6802070480) and her current practice location is
279 Summit Dr, Waterford, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 409-4173.
NPI number for Mrs Laura Jean Moore is 1164866695 and her current mailing address is 6441 Washburn Rd, Goodrich, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164866695.
Healthcare Provider's Profile
Full Name | Mrs Laura Jean Moore |
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Gender | Female |
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Speciality | Social Worker |
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Location | 279 Summit Dr, Waterford, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164866695
- Provider Enumeration Date: 04/26/2013
- Last Update Date: 04/26/2013
Medical Identifiers
Medical identifiers for Mrs Laura Jean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164866695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-00994 (Michigan) | Secondary |
104100000X | Social Worker | 6802070480 (Michigan) | 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 Laura Jean 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 Laura Jean Moore, LBSW, CADC 6441 Washburn Rd, Goodrich, MI 48438-9686 Ph: (248) 225-9507 | Mrs Laura Jean Moore, LBSW, CADC 279 Summit Dr, Waterford, MI 48328-3364 Ph: (248) 409-4173 |
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