Shannon Moore
Social Worker, Clinical in Randolph, Massachusetts
1750758322- Practice location
- 42 Diauto Dr, Randolph, MA 02368-4510
- Phone
- 781-885-7252
- Fax
- —
- Last updated
- August 30, 2015
Shannon Moore is a Social Worker, Clinical based in Randolph, MA. Shannon Moore practices in Randolph, MA. The NPI Number for Shannon Moore is 1750758322 and holds a License No. 582733473 (NY). The current practice location address for Shannon Moore is 42 Diauto Dr, Randolph, MA 02368-4510 and can be reached out via phone at 781-885-7252.
Provider Profile Details
- NPI Number
- 1750758322
- Provider Name
- Shannon Moore
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 42 Diauto Dr, Randolph, MA 02368-4510
- Phone Number
- 781-885-7252
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 30, 2015
- Last Update Date
- August 30, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Diauto Dr
Randolph, MA 02368-4510 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4510
- Phone Number
- 781-885-7252
Provider Business Mailing Address Details
- Address
- 42 Diauto Dr
Randolph, MA 02368-4510 - City
- Randolph
- State
- MA
- Zip
- 02368-4510
License Information
- License Number
- 582733473
- License State
- NY
- 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 Randolph, MA
View all Social Worker, Clinical providers in Randolph →- Alafia Center LLCSocial Worker, Clinical · NPI 1013609858
- Allaphia S Richards, MEDSocial Worker, Clinical · NPI 1568960094
- Anthony BoscoSocial Worker, Clinical · NPI 1184103830
- Aqueela Culbreath-BrittSocial Worker, Clinical · NPI 1821429317
- Ashley A DorSocial Worker, Clinical · NPI 1023970225
- Brian GonsalvesSocial Worker, Clinical · NPI 1346863693
Frequently Asked Questions
What is the NPI number of Shannon Moore?
The NPI number of Shannon Moore is 1750758322. It was assigned on August 30, 2015 and is currently active in the NPPES registry.
What is the specialty of Shannon Moore?
Shannon Moore is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 582733473.
Where does Shannon Moore practice?
The practice location is 42 Diauto Dr, Randolph, MA 02368-4510. The office can be reached at 781-885-7252 (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 1750758322 directly on the NPPES registry website.