MRS. MARY ANN MOORE (NPI# 1346258761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346258761 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN MOORE |
| Other Name | MRS. MARY ANN STACEY |
| Credential | L.C.S.W. |
| Practice Address |
3309 S Kingshighway Blvd Saint Louis MO 63139-1101 |
| Practice Telephone | 3145349350 |
| Practice Fax Number | 3145336047 |
| Mailing Telephone | 3145349350 |
| Mailing Fax Number | 3145336047 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004564 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1063654192 | Mary G Moore | Counselor | 103 William Dr, Normal, IL 61761-1862 | 2009-04-06 |
| 1588812325 | Mary Moore | Occupational Therapist | 6801 Copra Ln, Louisville, KY 40219-2156 | 2008-09-05 |
| 1275796625 | Mary Moore | Advanced Practice Midwife | 4118 Winnemac Ave, Madison, WI 53711-1645 | 2008-07-07 |
| 1023288123 | Mary Elizabeth Moore | Registered Nurse | 1064 Independence Ave, Akron, OH 44310 | 2008-03-04 |
| 1861672347 | Mary Patricia Moore | Psychiatry & Neurology | 280 Broad St Ste E, Kernersville, NC 27284-2948 | 2007-11-13 |
| 1134314263 | Mary Margaret Moore | Dermatology | 7435 Highway 6 Ste B, Missouri City, TX 77459-4698 | 2007-09-11 |
| 1871799957 | Mary E Moore | Psychologist | 325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212 | 2007-06-25 |
| 1578629309 | Mary A Moore | Social Worker | 19206 Huebner, Ste 104, San Antonio, TX 78258-9800 | 2006-12-28 |
| Street Address |
3309 S KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484798 | Kathryn Elizabeth Shaw | Counselor | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2006-07-24 |
| 1548878622 | Julia Cushing | Social Worker | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2020-07-15 |
| 1679199350 | Jessica Lynn Winders | Counselor | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2020-06-18 |
| 1982100467 | Alixandra Nicole Buckvar | Social Worker | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2018-04-03 |
| 1730628454 | Alison Gabel | Counselor | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2017-02-14 |
| 1407300106 | Ann Benson | Social Worker | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2016-08-10 |
| 1871977595 | Bethany Lord | Social Worker | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2015-07-13 |
| 1376962803 | Kathryn Waterbury | Social Worker | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2014-04-14 |
| 1295076024 | Sonya Shunta Williams | Counselor | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2013-03-04 |
| 1568726552 | Serene Wilkinson | Social Worker | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| 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 |
|---|---|---|---|---|
| 1760097182 | Laura Ranalletta | Social Worker | 877 Queen Anne Pl, Saint Louis, MO 63122-3143 | 2020-09-11 |
| 1861007502 | Helene Foster Platke | Social Worker | 11681 Summerhaven Dr, Saint Louis, MO 63146-5441 | 2020-09-10 |
| 1063027811 | Elizabeth Stonefield | Social Worker | 8188 Middlevalley Trl, Saint Louis, MO 63123-2415 | 2020-09-09 |
| 1770195729 | Kyla Hadenfeldt | Social Worker | 4562a Loughborough Ave, Saint Louis, MO 63116-1131 | 2020-08-20 |
| 1093327587 | Lori B Goldenberg | Social Worker | 3 Winfield Pointe Ln, Saint Louis, MO 63141-7710 | 2020-08-18 |
| 1831701473 | Michael David Galvin | Social Worker | 3425 Humphrey St, Saint Louis, MO 63118-2720 | 2020-08-17 |
| 1265043376 | Matt Fanning | Social Worker | 9378 Olive Blvd Ste 205, Saint Louis, MO 63132-3223 | 2020-08-12 |
| 1235748765 | Celia Rose Mcmanus | Social Worker | 10004 Kennerly Rd Ste 280b, Saint Louis, MO 63128-2177 | 2020-07-30 |
| 1841809019 | Danielle Denise Collins | Social Worker | 12360 Creek Run Dr Apt M, Saint Louis, MO 63141-6579 | 2020-07-23 |
| 1730797176 | Jill Louise Medintz | Social Worker | 130 S Bemiston Ave Ste 704a, Saint Louis, MO 63105-1913 | 2020-07-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
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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.