| Mr Dylan Anthony Moore, LCSW | |
|
200 N Douglas St Bldg 210, El Segundo, CA 90245-4616 | |
| (310) 653-6448 | |
| (310) 653-6737 |
| Full Name | Mr Dylan Anthony Moore |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 200 N Douglas St Bldg 210, El Segundo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811488034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW95110 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dylan Anthony Moore, LCSW 483 N Aviation Blvd, 61 Mds/mental Health, El Segundo, CA 90245-2808 Ph: (310) 653-6448 | Mr Dylan Anthony Moore, LCSW 200 N Douglas St Bldg 210, El Segundo, CA 90245-4616 Ph: (310) 653-6448 |
Randie Cloutier Chaine, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 302 W Grand Ave Ste 7, El Segundo, CA 90245 Phone: 424-262-5279 | |
Ms. Peggy Marie Delery, LCSW-BACS, C-SSWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, 61 Mds/sgoh, El Segundo, CA 90245 Phone: 310-653-6860 Fax: 310-653-6737 | |
Teresa Campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 483 Aviation Blvd N, Bldg 210, El Segundo, CA 90245 Phone: 310-653-6860 Fax: 310-653-6737 | |
Amy Ruffolo Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 W Grand Ave Ste 9, El Segundo, CA 90245 Phone: 724-816-9166 | |
Sarah Lynn Gibson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 Main St, El Segundo, CA 90245 Phone: 310-737-2317 | |
Alison M Greiner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 W Grand Ave, Suite 7, El Segundo, CA 90245 Phone: 310-784-7080 |