Andrea Moore, is a
Social Worker - Clinical based in Salt Lake City, Utah. Andrea Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
4460 S Highland Dr, 230, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(888) 949-4864.
NPI number for Andrea Moore is 1669832705 and her current mailing address is 4460 S Highland Dr, 230, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669832705.
Healthcare Provider's Profile
| Full Name | Andrea Moore |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4460 S Highland Dr, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669832705
- Provider Enumeration Date: 03/02/2016
- Last Update Date: 11/20/2020
Medical Identifiers
Medical identifiers for Andrea Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669832705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrea Moore,
4460 S Highland Dr, 230,
Salt Lake City, UT 84124-3543
Ph: (888) 949-4864 | Andrea Moore,
4460 S Highland Dr, 230,
Salt Lake City, UT 84124-3543
Ph: (888) 949-4864 |
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