| Gail Moore, LMSW | |
|
1801 6th Ave, Troy, NY 12180-3440 | |
| (518) 274-5143 | |
| (518) 273-1350 |
| Full Name | Gail Moore |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 1801 6th Ave, Troy, New York |
| 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 |
|---|---|---|---|
| 1174935902 | NPI | - | NPPES |
| 03008266 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 065270 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | 083251 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Koinonia Primary Care Inc | 6901041425 | 5 |
| Entity Name | Samaritan Hospital of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Entity Name | Koinonia Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023389533 PECOS PAC ID: 6901041425 Enrollment ID: O20130403000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Gail Moore, LMSW Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634 | Gail Moore, LMSW 1801 6th Ave, Troy, NY 12180-3440 Ph: (518) 274-5143 |
Belinda Peters, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 6th Ave, Troy, NY 12180 Phone: 518-274-5143 |
Taylor Olivia Bouton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 N Greenbush Rd Ste 205, Troy, NY 12180 Phone: 518-323-2826 |
Leticia Lind, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 6th Ave, Troy, NY 12180 Phone: 518-274-5143 Fax: 518-273-1350 |
Gregory Reid, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Defreest Dr, Troy, NY 12180 Phone: 518-945-8828 |
Madison Levea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2431 6th Ave, Troy, NY 12180 Phone: 518-274-2607 |
Doris Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 6th Ave, Troy, NY 12180 Phone: 518-274-5143 Fax: 518-273-1350 |
Kayla Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Ahern Ave, Troy, NY 12180 Phone: 518-283-6500 |