Moore, Denise

Moore, Denise is an individual health care provider with primary practice located at 5502 E 16Th St Suite C-16, Indianapolis IN 46218-4937. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Denise can be contacted via phone (317) 466-1000.

Contact Information

Primary practice address
5502 E 16Th St Suite C-16 Indianapolis IN 46218-4937
Phone: (317) 466-1000
Fax: (317) 894-4777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3305215A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006718A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000624A Indiana

Profile Details

NPI number 1316142458
LBN Legal business name Moore, Denise
Credentials MSW, LCSW, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Dec 23rd, 2013 - about 12 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 1316142458 NPPES
Indiana MEDICAID 100462120

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