Tabatha Eva Moore, is a
Social Worker - Clinical based in Raleigh, North Carolina. Tabatha Eva Moore is licensed to practice in North Carolina (license number P014337) and her current practice location is
1100 Logger Ct Apt D, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 844-7770.
NPI number for Tabatha Eva Moore is 1639696115 and her current mailing address is 1100 Logger Ct, Raleigh, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639696115.
Healthcare Provider's Profile
| Full Name | Tabatha Eva Moore |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1100 Logger Ct Apt D, Raleigh, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639696115
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 04/13/2020
Medical Identifiers
Medical identifiers for Tabatha Eva Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639696115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCAS-2896 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P014337 (North Carolina) | 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. Tabatha Eva 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 |
|---|
Tabatha Eva Moore,
1100 Logger Ct,
Raleigh, NC 27609-8525
Ph: (919) 844-7770 | Tabatha Eva Moore,
1100 Logger Ct Apt D,
Raleigh, NC 27609-8525
Ph: (919) 844-7770 |
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