Lee Porscha Mechelle Moore, LCSW is a
Social Worker - Clinical based in Oakland, California. Lee Porscha Mechelle Moore is licensed to practice in California (license number 89764) and her current practice location is
1266 14th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 273-4700.
NPI number for Lee Porscha Mechelle Moore is 1942637442 and her current mailing address is 2275 Arlington Dr, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942637442.
Healthcare Provider's Profile
| Full Name | Lee Porscha Mechelle Moore |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1266 14th St, Oakland, California |
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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: 1942637442
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 07/02/2019
Medical Identifiers
Medical identifiers for Lee Porscha Mechelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942637442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 68585 (California) | Secondary |
| 104100000X | Social Worker | 68585 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 89764 (California) | 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. Lee Porscha Mechelle 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 |
|---|
Lee Porscha Mechelle Moore, LCSW
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Lee Porscha Mechelle Moore, LCSW
1266 14th St,
Oakland, CA 94607-2247
Ph: (510) 273-4700 |
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