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NPI Code Detail

MEDICARE: ERICA MOORE

MEDICARE: ERICA 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 Worker1700078OH
2104100000XSocial WorkerS.1802717OH
3101YM0800XMental Health CounselorQMHSOH
4171M00000XCase Manager/Care CoordinatorCMSOH

General Provider Information

NPI Number : 1912495912
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA MOORE
Provider Business Mailing Address
First Line : 1634 11TH ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-4526
Country : US
Telephone Number : 740-355-7102
Fax Number :
Provider Business Practice Location Address
First Line : 1634 11TH ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-4526
Country : US
Telephone Number : 740-355-7102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 03/09/2026

Similar Medicare Providers

1437734555 — KELCEY HOLDER
Practice Location Address:
1634 11TH ST
PORTSMOUTH, OH
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1922018035 — ELIZABETH CHRISTINE NEWMAN
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1972606770 — MR. RICHARD L CALVIN LICDC, LISW
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1174613673 — BIO-MEDICAL APPLICATIONS OF OHIO, INC.
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1083853188 — THURMAN EDWARD HUGHES JR. LICDC
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1634 11TH ST
PORTSMOUTH, OH
45662-4526
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1255658803 — ANDREW BRESCIA ALBRECHT LICDC, LPC, NCC
Practice Location Address:
1634 11TH ST
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45662-4526
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Practice Fax: 740-354-5061

Directions to “ ERICA MOORE ” Practice Location

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