Active NPIIndividual providerSole proprietor

Mr. Michael M Moore, LCADC, MSW

Counselor, Addiction (Substance Use Disorder) in East Orange, New Jersey

NPI Number1992572507
Practice location
184 Park St Apt 2, East Orange, NJ 07017-1116
Fax
—
Last updated
December 5, 2023

Michael M Moore is a Counselor, Addiction (Substance Use Disorder) based in East Orange, NJ. Michael M Moore practices in East Orange, NJ and has the professional credentials of LCADC, MSW. The NPI Number for Michael M Moore is 1992572507 and holds a License No. 37LC00340200 (NJ). The current practice location address for Michael M Moore is 184 Park St Apt 2, East Orange, NJ 07017-1116 and can be reached out via phone at 973-380-5339.

Provider Profile Details

NPI Number
1992572507
Provider Name
Michael M Moore
Credential
LCADC, MSW
Provider Entity Type
Individual
Gender
Male
Address
184 Park St Apt 2, East Orange, NJ 07017-1116
Phone Number
973-380-5339
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2023
Last Update Date
December 5, 2023
Certification Date
December 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
184 Park St Apt 2
East Orange, NJ 07017-1116
Zip
07017-1116
Phone Number
973-380-5339
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
184 Park St Apt 2
East Orange, NJ 07017-1116
City
East Orange
State
NJ
Zip
07017-1116
Phone Number
973-380-5339

License Information

License Number
37LC00340200
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mr. Michael M Moore, LCADC, MSW?

The NPI number of Mr. Michael M Moore, LCADC, MSW is 1992572507. It was assigned on December 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael M Moore, LCADC, MSW?

Mr. Michael M Moore, LCADC, MSW is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00340200.

Where does Mr. Michael M Moore, LCADC, MSW practice?

The practice location is 184 Park St Apt 2, East Orange, NJ 07017-1116. The office can be reached at 973-380-5339 (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 1992572507 directly on the NPPES registry website.

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