| Vicki C Moore, LCSW | |
|
1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | |
| (573) 756-5749 | |
| Not Available |
| Full Name | Vicki C Moore |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1565 Sainte Genevieve Ave, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649709809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2017015119 (Missouri) | Primary |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki C Moore, LCSW Po Box 459, Farmington, MO 63640-0459 Ph: (573) 756-5749 | Vicki C Moore, LCSW 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 Ph: (573) 756-5749 |
Mrs. Wenona H Mickan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-747-2438 | |
Mrs. Julie Ann Downs, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 | |
Deborah Lynn Bonham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1269 Doctors Dr, Farmington, MO 63640 Phone: 573-664-1146 Fax: 573-664-1149 | |
Rachael Christine Holloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
William Jeffrey Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
Misty Dawn Fowler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-366-4659 | |
Mrs. Melissa L. Black, MSW/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 |