Juanita Golemon Moorman, MSW
Individual provider Active NPI Social Worker · Mamou, LA
NPI 1225359136 · NPPES record last updated Jun 15, 2010
Key facts
- NPI
- 1225359136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 10222 (LA)
- Practice address
- 1610 6TH St
Mamou, LA 70554 - Phone
- (337) 468-0487
- Fax
- (337) 468-0445
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10222 | LA | Yes |
Addresses
Primary practice location
1610 6TH St
Mamou, LA 70554
Mailing address
404 E 6TH Ave
Oakdale, LA 71463-2628
Phone (318) 335-2191
Other providers in Mamou, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.