Farrell-Moore, Dawn

Farrell-Moore, Dawn is an individual health care provider with primary practice located at 107 S 5Th St , Richmond VA 23219-3825. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Farrell-Moore, Dawn can be contacted via phone (804) 819-4000.

Contact Information

Primary practice address
107 S 5Th St Richmond VA 23219-3825
Phone: (804) 819-4000
Fax: (804) 819-4268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710101304 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904004005 Virginia

Profile Details

NPI number 1063693570
LBN Legal business name Farrell-Moore, Dawn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063693570 NPPES
Virginia MEDICAID 4945255

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