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NPI Code Detail

MEDICARE: MR. HAYDEN C MOORE LSW

MEDICARE: MR. HAYDEN C MOORE LSW
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
1104100000XSocial WorkerS.2613870OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780514729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAYDEN C MOORE LSW
Provider Business Mailing Address
First Line : PO BOX 1762
Second Line :
City : WESTERVILLE
State : OH
Zip : 43086-1762
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 NOBLE DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5353
Country : US
Telephone Number : 800-638-3232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/28/2026

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Directions to “ MR. HAYDEN C MOORE LSW” Practice Location

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