ANNA-MAE EVANGELINE CONRAD MOORE MSW NPI 1104551803

NPI Information

  • NPI: 1104551803
  • Provider Name: ANNA-MAE EVANGELINE CONRAD MOORE, MSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 58923 BUSINESS CENTER DR STE A-E
    YUCCA VALLEY, CA
    ZIP 92284
  • Phone: (760) 365-7209

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NPI Details

Anna-mae Evangeline Conrad Moore, MSW is a mental health counselor in Yucca Valley, CA. Anna-mae Evangeline Conrad Moore, MSW NPI is 1104551803. 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:

58923 BUSINESS CENTER DR STE A-E
YUCCA VALLEY, CA
ZIP 92284-311
Phone: (760) 365-7209

The enumeration date for this NPI number is 7/18/2022 and was last updated on 7/20/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthASW108530CALIFORNIAYes
21041C0700XSocial WorkerClinicalASW108530CALIFORNIANo

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: 11/21/2025

NPI Synchronization or Removal

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