| Devon Nicole Moore, LCSW | |
|
110 S 12th St, Waco, TX 76701-1810 | |
| (254) 313-6350 | |
| (254) 313-6375 |
| Full Name | Devon Nicole Moore |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 110 S 12th St, Waco, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245813534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 67025 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Virtual Care | 5991176356 | 40 |
| Entity Name | Texas Health Virtual Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Nicole Moore, LCSW 1600 Providence Dr, Waco, TX 76707-2261 Ph: (254) 313-4200 | Devon Nicole Moore, LCSW 110 S 12th St, Waco, TX 76701-1810 Ph: (254) 313-6350 |
Taylor Diamond, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11216 Raider Dr, Waco, TX 76708 Phone: 254-495-3951 |
Kelli King Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Jefferson Ave, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |
Samantha Rae Sophie Stough, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 |
Rebecca L Shumake, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6700 Sanger Ave, Waco, TX 76710 Phone: 254-399-9099 |
Mrs. Kathleen Paige Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Pine Ave, Waco, TX 76708 Phone: 706-424-0867 |
Emilee Hope Benedict, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2800 Lyle Ave, Waco, TX 76708 Phone: 254-297-7100 |
Chelsea Layne Kramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 |