DR. CRYSTAL DEA MOORE (NPI# 1245548080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245548080 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL DEA MOORE |
| Credential | PH.D., M.S.W., M.A. |
| Practice Address |
902 Washington Ave Albany NY 12203-1716 |
| Practice Telephone | 5187273401 |
| Practice Fax Number | 5184539436 |
| Mailing Telephone | 5187273401 |
| Mailing Fax Number | 5184539436 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
077736-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| Street Address |
902 WASHINGTON AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104921790 | Neil J Cervera | Social Worker | 902 Washington Ave, Albany, NY 12203-1716 | 2006-09-14 |
| 1932743085 | Brian James Mcveigh | Counselor | 902 Washington Ave, Albany, NY 12203-1716 | 2019-11-01 |
| 1841312923 | Jessica Ann Wright | Counselor | 902 Washington Ave, Albany, NY 12203-1716 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1457977043 | Latoya Palmer | Social Worker | 742 S Pearl St, Albany, NY 12202-1016 | 2020-06-19 |
| 1982226627 | Camille Hehn | Social Worker | 527 Bradford St, Albany, NY 12206-1432 | 2020-05-16 |
| 1467073916 | Ashley Mary Millington | Social Worker | 20 Bauer Dr, Albany, NY 12205-5002 | 2020-05-06 |
| 1710512264 | Ashley Nicole Hall | Social Worker | 3418 Aristedes Rd, Albany, GA 31721-7745 | 2020-03-05 |
| 1497380133 | Diane Hamon | Social Worker | 2516 Dawson Rd Ste D, Albany, GA 31707-2304 | 2020-03-03 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1588229017 | Lachandra Johnson Fields | Social Worker | 2411 Bettys Dr, Albany, GA 31705-4303 | 2019-05-09 |
| 1245796580 | Amanda Ricciardi | Social Worker | 1229 Central Ave, Albany, NY 12205-5340 | 2019-02-12 |
| 1538649785 | Courtney Kenneally Mazzone | Social Worker | 435 New Karner Rd Ste 17, Albany, NY 12205-5841 | 2018-08-17 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.