Mr. Derek D Moore, LICSW
Social Worker, Clinical in Somerville, Massachusetts
1427062165- Practice location
- 22 Mcgrath Hwy, Somerville, MA 02143-4508
- Phone
- 617-623-1814
- Fax
- 617-623-1817
- Last updated
- July 8, 2007
Derek Dykes Moore is a Social Worker, Clinical based in Somerville, MA. Derek Dykes Moore practices in Somerville, MA and has the professional credentials of LICSW. The NPI Number for Derek Dykes Moore is 1427062165 and holds a License No. 113305 (MA). The current practice location address for Derek Dykes Moore is 22 Mcgrath Hwy, Somerville, MA 02143-4508 and can be reached out via phone at 617-623-1814 and via fax at 617-623-1817.
Provider Profile Details
- NPI Number
- 1427062165
- Provider Name
- Derek Dykes Moore
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Mcgrath Hwy, Somerville, MA 02143-4508
- Phone Number
- 617-623-1814
- Fax Number
- 617-623-1817
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 28, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Mcgrath Hwy
Somerville, MA 02143-4508 - City
- Somerville
- State
- Massachusetts
- Zip
- 02143-4508
- Phone Number
- 617-623-1814
- Fax Number
- 617-623-1817
Provider Business Mailing Address Details
- Address
- 10 Bridge St
Marblehead, MA 01945-3711 - City
- Marblehead
- State
- MA
- Zip
- 01945-3711
- Phone Number
- 617-893-2231
- Fax Number
- 617-623-1817
License Information
- License Number
- 113305
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Somerville, MA
View all Social Worker, Clinical providers in Somerville →- Jennifer Miller, LICSWSocial Worker, Clinical · NPI 1194208314
- John Kmetz, LCSWSocial Worker, Clinical · NPI 1710627062
- Julie G Godbout, LICSWSocial Worker, Clinical · NPI 1942497268
- Ms. Mary F Lawler, LICSWSocial Worker, Clinical · NPI 1326160011
- Susan H Creamer, LICSWSocial Worker, Clinical · NPI 1447372412
- Thelm, INC.Social Worker, Clinical · NPI 1982915591
Frequently Asked Questions
What is the NPI number of Mr. Derek D Moore, LICSW?
The NPI number of Mr. Derek D Moore, LICSW is 1427062165. It was assigned on July 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Derek D Moore, LICSW?
Mr. Derek D Moore, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113305.
Where does Mr. Derek D Moore, LICSW practice?
The practice location is 22 Mcgrath Hwy, Somerville, MA 02143-4508. The office can be reached at 617-623-1814 (phone) or 617-623-1817 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427062165 directly on the NPPES registry website.