| Jennifer C Moore Msw Lcsw Inc | |
|
7180 Cascade Valley Ct Ste 200 Las Vegas NV 89128-0481 | |
| (702) 240-8639 | |
| (702) 240-6970 |
| Full Name | Jennifer C Moore Msw Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 7180 Cascade Valley Ct Ste 200, Las Vegas, Nevada |
| Authorized Official Name and Position | Jennifer Claire Moore (PRESIDENT) |
| Authorized Official Contact | 7022408639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C Moore Msw Lcsw Inc Po Box 370763 Las Vegas NV 89137-0763 Ph: (702) 691-1920 | Jennifer C Moore Msw Lcsw Inc 7180 Cascade Valley Ct Ste 200 Las Vegas NV 89128-0481 Ph: (702) 240-8639 |
| NPI Number | 1225280969 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Medicare PECOS PAC ID | 8628137304 |
|---|---|
| Medicare Enrollment ID | O20081110000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225280969 | NPI | - | NPPES |
| 100511332 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2948C (Nevada) | Primary |
| Provider Name | Jennifer C Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407977523 PECOS PAC ID: 8729031810 Enrollment ID: I20050301000657 |
| Provider Name | Frances A Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093285421 PECOS PAC ID: 2961817143 Enrollment ID: I20210222000795 |
| Provider Name | Shayla R Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235636325 PECOS PAC ID: 7719392752 Enrollment ID: I20210224002080 |
| Provider Name | Elizabeth A Arellano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497124309 PECOS PAC ID: 0244645281 Enrollment ID: I20210224002247 |
| Provider Name | Susan J Woolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427694785 PECOS PAC ID: 3476968405 Enrollment ID: I20210921001280 |
| Provider Name | Katelyn A Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427574227 PECOS PAC ID: 6800293671 Enrollment ID: I20210921001838 |
| Provider Name | Taylor Behring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407582984 PECOS PAC ID: 6608235627 Enrollment ID: I20230707002893 |
| Provider Name | Devon Taylor Hillison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801412598 PECOS PAC ID: 0941646251 Enrollment ID: I20240308002534 |
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