Active NPIIndividual provider

Nicole Moore, LCSW

Social Worker, Clinical in Woodbury, New Jersey

NPI Number1750711156
Practice location
509 N Broad St, Woodbury, NJ 08096-1617
Fax
856-853-1693
Last updated
January 10, 2019

Nicole Moore is a Social Worker, Clinical based in Woodbury, NJ. Nicole Moore practices in Woodbury, NJ and has the professional credentials of LCSW. The NPI Number for Nicole Moore is 1750711156 and holds a License No. 44SC05423900 (NJ). The current practice location address for Nicole Moore is 509 N Broad St, Woodbury, NJ 08096-1617 and can be reached out via phone at 856-845-0100 and via fax at 856-853-1693.

Provider Profile Details

NPI Number
1750711156
Provider Name
Nicole Moore
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
509 N Broad St, Woodbury, NJ 08096-1617
Phone Number
856-845-0100
Fax Number
856-853-1693
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Nicole Chalmers, LCSW (Former Name)
Provider Enumeration Date
November 21, 2013
Last Update Date
January 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
509 N Broad St
Woodbury, NJ 08096-1617
Zip
08096-1617
Phone Number
856-845-0100
Fax Number
856-853-1693
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
509 N Broad St
Woodbury, NJ 08096-1617
City
Woodbury
State
NJ
Zip
08096-1617
Phone Number
856-845-0100
Fax Number
856-853-1693

License Information

License Number
44SC05423900
License State
NJ
Taxonomy
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 Nicole Moore, LCSW?

The NPI number of Nicole Moore, LCSW is 1750711156. It was assigned on November 21, 2013 and is currently active in the NPPES registry.

What is the specialty of Nicole Moore, LCSW?

Nicole Moore, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05423900.

Where does Nicole Moore, LCSW practice?

The practice location is 509 N Broad St, Woodbury, NJ 08096-1617. The office can be reached at 856-845-0100 (phone) or 856-853-1693 (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 1750711156 directly on the NPPES registry website.

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