Active NPIIndividual providerSole proprietor

John Moore

Social Worker, Clinical in Bourne, Massachusetts

NPI Number1679643605
Practice location
1 Dogwood RD, Bourne, MA 02532-2227
Fax
—
Last updated
November 2, 2023

John Moore is a Social Worker, Clinical based in Bourne, MA. John Moore practices in Bourne, MA. The NPI Number for John Moore is 1679643605 and holds a License No. 1022699 (MA). The current practice location address for John Moore is 1 Dogwood RD, Bourne, MA 02532-2227 and can be reached out via phone at 617-839-3429.

Provider Profile Details

NPI Number
1679643605
Provider Name
John Moore
Provider Entity Type
Individual
Gender
Male
Address
1 Dogwood RD, Bourne, MA 02532-2227
Phone Number
617-839-3429
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 8, 2006
Last Update Date
November 2, 2023
Certification Date
November 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Dogwood RD
Bourne, MA 02532-2227
City
Bourne
Zip
02532-2227
Phone Number
617-839-3429
Bourne, MA 02532Get directions →

Provider Business Mailing Address Details

Address
1 Dogwood RD
Bourne, MA 02532-2227
City
Bourne
State
MA
Zip
02532-2227
Phone Number
617-839-3429

License Information

License Number
1022699
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

Other Social Worker, Clinical providers near Bourne, MA

View all Social Worker, Clinical providers in Bourne →

Frequently Asked Questions

What is the NPI number of John Moore?

The NPI number of John Moore is 1679643605. It was assigned on November 8, 2006 and is currently active in the NPPES registry.

What is the specialty of John Moore?

John Moore is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1022699.

Where does John Moore practice?

The practice location is 1 Dogwood RD, Bourne, MA 02532-2227. The office can be reached at 617-839-3429 (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 1679643605 directly on the NPPES registry website.

Browse related providers