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NPI Code Detail

MEDICARE: SEMARI MOORE

MEDICARE:   SEMARI  MOORE
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
11041C0700XClinical Social WorkerM600-7840-3704IL

General Provider Information

NPI Number : 1548116494
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEMARI MOORE
Provider Business Mailing Address
First Line : 1910 WESTMEAD DR APT 4424
Second Line :
City : HOUSTON
State : TX
Zip : 77077-4729
Country : US
Telephone Number : 847-857-0185
Fax Number :
Provider Business Practice Location Address
First Line : 1910 WESTMEAD DR APT 4424
Second Line :
City : HOUSTON
State : TX
Zip : 77077-4729
Country : US
Telephone Number : 847-857-0185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ SEMARI MOORE ” Practice Location

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