Rachel Moore

Individual provider Active NPI Social Worker · Waterbury, CT

NPI 1104509470 · NPPES record last updated Aug 11, 2023

Key facts

NPI
1104509470
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
7373 (CT)
Practice address
141 E Main St
Waterbury, CT 06702-2310
Phone
(203) 580-4298
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7373 CT Yes

Addresses

Primary practice location

141 E Main St
Waterbury, CT 06702-2310

Mailing address

141 E Main St
Waterbury, CT 06702-2310

Other providers in Waterbury, CT

All providers in Waterbury, CT · Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.