BROOKE MOORE (NPI# 1992156673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992156673 |
| Entity Type | Individual |
| Full Name | BROOKE MOORE |
| Credential | LLMSW |
| Practice Address |
3175 Professional Ct Bay City MI 48706-2823 |
| Mailing Address |
538 Venetian Ct Bay City MI 48708-6965 |
| Practice Telephone | 9896673377 |
| Practice Fax Number | 9896679991 |
| Mailing Telephone | 9899484446 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801104918 | MI | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 720 Bay Rd, Bay City, MI 487061920 | 9899484444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437546769 | Brooke Nicole Moore | Counselor | 367 W Chicken Fight Rd, Atoka, OK 74525-4110 | 2015-04-24 |
| 1205833704 | Brooke Carol Moore | Internal Medicine | 2500 Route 347, Bldg 14a, Stony Brook, NY 11790-2554 | 2005-06-30 |
| 1316570815 | Brooke Moore | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-02-13 |
| 1821643685 | Brooke Moore | Physical Therapist | 1217 Plaza Blvd Ste E, Central Point, OR 97502-2682 | 2019-08-07 |
| 1043791635 | Brooke Moore | Nurse Practitioner | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2018-08-22 |
| 1184085268 | Brooke Moore | Nurse Practitioner | 2413 N Meridian St, Indianapolis, IN 46208-5854 | 2016-03-16 |
| 1477925881 | Brooke Moore | Specialist/Technologist | 1805 W Heavenly Ct, Flagstaff, AZ 86001-2836 | 2015-10-24 |
| 1770910994 | Brooke Ann Moore | Student in an Organized Health Care Education/Training Program | 3870 Rosin Ct Ste 130, Sacramento, CA 95834-1647 | 2013-10-02 |
| 1235416579 | Brooke G Moore | Counselor | 601 S Edwin C Moses Blvd, 4th Floor, Nw Building, Dayton, OH 45417-3424 | 2011-11-15 |
| 1336474451 | Brooke A Moore | Social Worker | 55 Westchester Sq, Bronx, NY 10461-3525 | 2009-10-07 |
| Street Address |
3175 PROFESSIONAL CT |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396768313 | Tari S Stull | Surgery | 3175 Professional Ct, Bay City, MI 48706-2823 | 2006-07-25 |
| 1578834610 | Marvin Najjar | Obstetrics & Gynecology | 3175 Professional Ct, Bay City, MI 48706-2823 | 2012-01-20 |
| 1528100781 | Mclaren Medical Group | Advanced Practice Midwife | 3175 Professional Ct, Bay City, MI 48706-2823 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1518304633 | Kristin R. Penberthy | Social Worker | 2957 Imperial Dr, Bay City, MI 48706-3111 | 2013-05-30 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1972947786 | Laurel N Mcclure | Social Worker | 921 N Wenona St, Bay City, MI 48706-3568 | 2013-04-23 |
| 1093745911 | Cynthia Kay Soto | Social Worker | 690 S Trumbull, Bay City, MI 48708 | 2006-07-04 |
| 1114967783 | Michelle Trudell | Social Worker | 4771 2 Mile Rd, Suite A, Bay City, MI 48706-2775 | 2006-06-08 |
| 1750330791 | Diane Hobson | Social Worker | 3741 Wilder Rd, Suite A, Bay City, MI 48706-2343 | 2006-05-08 |
| 1992754881 | Gwen Hoff | Social Worker | 721 Washington Ave, Suite 300, Bay City, MI 48708-5729 | 2006-05-08 |
| 1205440732 | Tonya Cece | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2020-09-02 |
| 1386269694 | Jason Allen Steffes | Social Worker | 201 Mulholland St, Bay City, MI 48708-7693 | 2020-06-11 |
| Find all providers in BAY CITY | ||||
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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.