Diana Moore, LCSW, P.a. Group

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

SW00004046 Issued in FL

Legal business name

DIANA MOORE, LCSW, P.A. GROUP

Practice address

10714 Pelican Dr
Wellington, FL 33414-6154

Phone

(561) 784-8060

Fax

(561) 791-1805

NPI assigned

Dec 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Diana Moore, LCSW

Title

Director

Phone

(561) 784-8060

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197763200000",
    "number": "1477736205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 PELICAN DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146154",
            "telephone_number": "561-784-8060",
            "fax_number": "561-791-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 PELICAN DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146154",
            "telephone_number": "561-784-8060",
            "fax_number": "561-791-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA MOORE, LCSW, P.A. GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-784-8060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "SW00004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Wellington, FL
• Providers in Wellington, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.