| Jennifer C Moore Msw Lcsw Inc | |
|
660 S Green Valley Pkwy Ste 140-150 Henderson NV 89052-0430 | |
| (702) 240-8639 | |
| Not Available |
| Full Name | Jennifer C Moore Msw Lcsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 660 S Green Valley Pkwy Ste 140-150, Henderson, Nevada |
| Authorized Official Name and Position | Jennifer C Moore (OWNER/PRESIDENT) |
| Authorized Official Contact | 7022408639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C Moore Msw Lcsw Inc Po Box 370763 Las Vegas NV 89137-0763 Ph: (702) 240-8639 | Jennifer C Moore Msw Lcsw Inc 660 S Green Valley Pkwy Ste 140-150 Henderson NV 89052-0430 Ph: (702) 240-8639 |
| NPI Number | 1962099572 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962099572 | NPI | - | NPPES |
| 100511332 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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