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DE'LISA G MOORE LSW NPI 1346647047


NPI Information

NPI: 1346647047
Provider Name: DE'LISA G MOORE, LSW
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
601 S EDWIN C MOSES BLVD - 4TH FLOOR NW BLDG
SAMARITAN BEHAVIORAL HEALTH, INC.
DAYTON, OH
ZIP 45417
Phone: (937) 734-8333
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De'lisa G Moore, LSW is a social worker in Dayton, OH. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. De'lisa G Moore, LSW NPI is 1346647047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 S EDWIN C MOSES BLVD - 4TH FLOOR NW BLDG
SAMARITAN BEHAVIORAL HEALTH, INC.
DAYTON, OH
ZIP 45417-424
Phone: (937) 734-8333
Fax: (937) 734-4343

The NPI 1346647047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 11/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerS.1101626OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.