BREANNA DELORES MOORE (NPI# 1386290096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386290096 |
| Entity Type | Individual |
| Full Name | BREANNA DELORES MOORE |
| Practice Address |
2007 Wildwood Rd Picayune MS 39466-2178 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 7699262657 |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248906 | Breanna Lynn Kimble Moore | Physical Therapist | 16033 Bolsa Chica St, Huntington Beach, CA 92649-2452 | 2020-09-01 |
| 1033721659 | Breanna Moore | Technician | 15946 Mclane Pike, Liberty, WV 25124 | 2020-08-17 |
| 1033567078 | Breanna Moore | Speech-Language Pathologist | 5851 Rural Edge Dr, Roscoe, IL 61073-7994 | 2016-06-01 |
| 1417554684 | Breanna Moore | Pharmacist | 12058 Palmdale Rd, Adelanto, CA 92301-6708 | 2020-10-01 |
| 1992229769 | Breanna Kathleen Moore | Counselor | 2127 14th Ave S, Birmingham, AL 35205-3900 | 2017-08-02 |
| 1689913907 | Breanna Moore | Dietitian, Registered | 13861 Olio Rd, Fishers, IN 46037-3487 | 2013-02-06 |
| Street Address |
2007 WILDWOOD RD |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922405349 | Nakia Stickler | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2014-12-01 |
| 1023645769 | Tammy M. Martinez | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-03-24 |
| 1063048791 | Rebecca Lynn Webb | Social Worker | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-03-13 |
| 1104456946 | Raquel Nichole Carroll | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-01-21 |
| 1477113645 | Roddreka Tarnesha Adams | Behavioral Analyst | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-06-19 |
| 1144788084 | Kashunta Lasheri Merritt | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-03-11 |
| 1760947386 | Daniel Zane Slade | Counselor | 2007 Wildwood Rd, Picayune, MS 39466 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833064 | Rachel C Denson | Social Worker | 2007 Wildwood Dr, Picayune, MS 39466-2178 | 2020-05-26 |
| 1114563087 | Cory Dedual | Social Worker | 425 N Beech St, Picayune, MS 39466-3811 | 2019-11-26 |
| 1649288291 | Child Abuse Education Council of Pearl River County, Inc. | Social Worker | 120 Street A, Suite C, Picayune, MS 39466-5466 | 2006-08-03 |
| 1811905003 | John H. Campbell | Social Worker | 210 Mitchell St, Picayune, MS 39466-4540 | 2006-08-03 |
| 1063048791 | Rebecca Lynn Webb | Social Worker | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-03-13 |
| 1821584244 | Kimberly Sauls LLC | Social Worker | 1839 Cooper Rd Ste D, Picayune, MS 39466-2836 | 2018-07-09 |
| 1578729836 | Holly R Smith | Social Worker | 703 W Canal St, Picayune, MS 39466-3918 | 2008-08-05 |
| 1750471108 | Paula K Spooner | Social Worker | 703 W Canal St, Picayune, MS 39466-3918 | 2006-10-14 |
| 1508874843 | Paula J. Russell | Social Worker | 210 Mitchell St, Picayune, MS 39466-4540 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1447868385 | Damaris Gomez-gliliam | Social Worker | 7921 Chesterfield Dr S, Southaven, MS 38671-6202 | 2020-07-16 |
| 1346864915 | Camp Reloaded LLC | Social Worker | 513 N Hayden St, Belzoni, MS 39038-3615 | 2020-05-29 |
| 1417579137 | Jariva King | Social Worker | 9245 Cuandet Rd Apt 96, Gulfport, MS 39503-4763 | 2020-05-15 |
| 1891316006 | Shamekia Nichols | Social Worker | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-04-28 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1225671944 | Zakiya Anderson | Social Worker | 7572 Southaven Cir W, Southaven, MS 38671-5230 | 2019-10-25 |
| 1073167029 | Marjhaun Z Jackson | Social Worker | 19464 Highway 61 N, Lyon, MS 38645-9785 | 2019-07-29 |
| 1225696917 | Timothy Hill | Social Worker | 1414 6th St # 14146th, Clarksdale, MS 38614-6046 | 2019-05-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BREANNA DELORES MOORE.
| 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.