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MS. CARRIE L MOORE MA LMSW CAAC NPI 1518907229


NPI Information

NPI: 1518907229
Provider Name: MS. CARRIE L MOORE, MA, LMSW, CAAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
157 S KALAMAZOO MALL
250
KALAMAZOO, MI
ZIP 49007
Phone: (269) 383-1440
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MS. Carrie L Moore, MA, LMSW, CAAC is a mental health counselor in Kalamazoo, MI. MS. Carrie L Moore, MA, LMSW, CAAC NPI is 1518907229. 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:

157 S KALAMAZOO MALL
250
KALAMAZOO, MI
ZIP 49007-877
Phone: (269) 383-1440
Fax: (269) 383-9781

The enumeration date for this NPI number is 6/8/2006 and was last updated on 4/21/2010.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)C-02372MICHIGANNo
2101YM0800XCounselorMental Health6801062534MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16801062534OTHERMICHIGANLMSW
21518907229MEDICARE PINMICHIGAN
3C-02372OTHERMICHIGANCAAC

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: 4/28/2024

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.