Active NPIIndividual provider

Penelope A Moore, MA MED MSW LICSW

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1609912294
Practice location
64 Royal Road, Belmont, MA 02478
Fax
—
Last updated
June 16, 2017

Penelope Anne Moore is a Social Worker, Clinical based in Belmont, MA. Penelope Anne Moore practices in Belmont, MA and has the professional credentials of MA MED MSW LICSW. The NPI Number for Penelope Anne Moore is 1609912294 and holds a License No. 217592 (MA). The current practice location address for Penelope Anne Moore is 64 Royal Road, Belmont, MA 02478 and can be reached out via phone at 617-489-4439.

Provider Profile Details

NPI Number
1609912294
Provider Name
Penelope Anne Moore
Credential
MA MED MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
64 Royal Road, Belmont, MA 02478
Phone Number
617-489-4439
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2007
Last Update Date
June 16, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Royal Road
Belmont, MA 02478
Zip
02478
Phone Number
617-489-4439
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
64 Royal Road
Belmont, MA 02478
City
Belmont
State
MA
Zip
02478
Phone Number
617-484-4827

License Information

License Number (1)
217592
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
1801
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
939
License State (3)
MA
Taxonomy (3)
Marriage & Family Therapist · 106H00000X
License Number (4)
120302
License State (4)
MA
Taxonomy (4)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Penelope A Moore, MA MED MSW LICSW?

The NPI number of Penelope A Moore, MA MED MSW LICSW is 1609912294. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Penelope A Moore, MA MED MSW LICSW?

Penelope A Moore, MA MED MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 217592.

Where does Penelope A Moore, MA MED MSW LICSW practice?

The practice location is 64 Royal Road, Belmont, MA 02478. The office can be reached at 617-489-4439 (phone).

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 1609912294 directly on the NPPES registry website.

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