MEDICARE: JOCELYN TIA MOORE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.013324	IL

General Provider Information

NPI Number	:	1326346545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN TIA MOORE LCSW

Provider Business Mailing Address
First Line	:	2200 BERGQUIST DR
Second Line	:	SUITE 1 -JBSA LACKLAND
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-9907
Country	:	US
Telephone Number	:	210-292-7361
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 BERGQUIST DR
Second Line	:	SUITE 1 - JBSA LACKLAND
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-9907
Country	:	US
Telephone Number	:	210-292-7361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2011
Last Update Date	:	02/13/2014

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1093792665 — MR. VERNON THEODORE LEW RPH
Practice Location Address:

2200 BERGQUIST DR , BLDG 8410
SAN ANTONIO, TX
78236-9907

Practice Phone: 210-292-8418
Practice Fax: 210-292-7207

1598825713 — MR. ROEL A ARREDONDO RPH
Practice Location Address:

2200 BERGQUIST DR , SUITE 1
SAN ANTONIO, TX
78236-9907

Practice Phone: 210-292-5413
Practice Fax: 210-292-5419

1326370313 — LUBA BOYKO PHYSICIAN ASSISTANT
Practice Location Address:

2200 BERGQUIST DR
SAN ANTONIO, TX
78236-9907

Practice Phone: 210-925-3838
Practice Fax:

1275879587 — KELYN C DOS SANTOS
Practice Location Address:

2200 BERGQUIST DR
SAN ANTONIO, TX
78236-9907

Practice Phone: 210-292-7331
Practice Fax:

1114364759 — MR. CHARLES AARON WOODWARD III
Practice Location Address:

2200 BERGQUIST DR
SAN ANTONIO, TX
78236-9907

Practice Phone: 210-292-7797
Practice Fax:

Directions to “ JOCELYN TIA MOORE LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.