MRS. CAROLYN MAE MOORE (NPI# 1720068182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720068182 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN MAE MOORE |
| Credential | L.C.S.W. |
| Practice Address |
1600 S Main St Lebanon OR 97355-3109 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5414515932 |
| Mailing Telephone | 5414515932 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L4204 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500612327 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151740 | Carolyn Jean Moore | Physical Therapist | 100 Baldwin Blvd, Fishersville, VA 22939-2375 | 2018-04-13 |
| 1568725950 | Carolyn Diane Moore | Speech-Language Pathologist | 1544 Greenly St, Hudsonville, MI 49426-9674 | 2012-06-20 |
| 1346496379 | Carolyn S Moore | Nurse Practitioner | 4741 Rolling Meadows Dr, Memphis, TN 38128-4851 | 2008-08-11 |
| 1437358975 | Carolyn Neoma Moore | Recreation Therapist | 12007 S Cedar Ave, Jenks, OK 74037-3344 | 2007-07-14 |
| 1386869303 | Carolyn R. Moore | Social Worker | 50 Stutz Bearcat Dr, Suite 2, Sedona, AZ 86336-5268 | 2007-04-16 |
| 1578614731 | Carolyn Joyce Moore | Nurse Practitioner | 3579 Franklin, Eugene, OR 97403-2356 | 2007-01-15 |
| 1700934163 | Carolyn Jo Moore | Counselor | 2525 Maine Ave, Richmond, CA 94804-2827 | 2007-01-08 |
| 1184781486 | Carolyn Moore | Dentist | 257 Commerce Dr, Peachtree City, GA 30269-1484 | 2007-01-03 |
| 1659445450 | Carolyn Moore | Dentist | 1769 Inkster, Garden City, MI 48135-2499 | 2006-11-20 |
| 1750316758 | Carolyn Lewis Moore | Nurse Practitioner | 1718 North Foster Dr, Suite B, Baton Rouge, LA 70806 | 2006-07-11 |
| Street Address |
1600 S MAIN ST |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654237 | Shellany Jean Cushner | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2018-10-10 |
| 1003329434 | Wendy Hull | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2017-11-07 |
| 1356792428 | Lavanya Kancherla | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2016-06-29 |
| 1538525431 | Geoffrey Thoma | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2016-01-07 |
| 1265800429 | Melissa Wilson | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2015-09-04 |
| 1558737866 | Joanna Means | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2015-08-20 |
| 1225456106 | Shylene Larson | Psychologist | 1600 S Main St, Lebanon, OR 97355-3109 | 2014-03-28 |
| 1174941058 | Lisa Burner | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2014-03-28 |
| 1619249158 | Kenneth Mackie | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2012-01-30 |
| 1407144827 | Helen Pearl Kelley | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| 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 |
|---|---|---|---|---|
| 1285260653 | Jane Louise Oakley | Social Worker | 3791 W St Rt 63, Lebanon, OH 45036-9585 | 2020-03-18 |
| 1760049373 | Ginger L Rios-baez | Social Worker | 708 Five Oaks Ct, Lebanon, TN 37087-1607 | 2019-05-20 |
| 1811453202 | Jennifer Marie Plesh-fugate | Social Worker | 1700 S Lincoln Ave # 500, Lebanon, PA 17042-7529 | 2019-02-11 |
| 1932676590 | Margaret Mary Panageas | Social Worker | 6 Camelot Ct, Lebanon, NJ 08833-4003 | 2018-10-31 |
| 1609313899 | Paul Trubey | Social Worker | 59 Taylor Bridge Rd, Lebanon, CT 06249-2426 | 2017-01-25 |
| 1447610118 | Lauren Melissa Mourier | Social Worker | 440 Park Ave Ste A, Lebanon, TN 37087-3665 | 2016-02-24 |
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1154798767 | Rachel Ann Klopfenstein | Social Worker | 420 N Loretto Rd, Lebanon, KY 40033-1628 | 2015-08-31 |
| 1750758090 | Teresa May Belouchi | Social Worker | 15 E Warren St, Lebanon, OH 45036-1859 | 2015-08-21 |
| 1861871451 | Angelica Kay Jane Nevins | Social Worker | 1614 N Lebanon St, Suite 2, Lebanon, IN 46052-1514 | 2015-05-28 |
| Find all providers in LEBANON | ||||
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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.