Katherine Mary Moore, LCSW
Individual provider Active NPI Mental Health Counselor · Foster, RI
NPI 1619683471 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1619683471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CSW00957 (RI)
- Practice address
- 23 Anthony Rd
Foster, RI 02825-1403 - Phone
- (401) 300-1638
- NPI assigned
- Jan 25, 2023
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW00957 | RI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW00957 | RI | Yes |
Addresses
Primary practice location
23 Anthony Rd
Foster, RI 02825-1403
Mailing address
23 Anthony Rd
Foster, RI 02825-1403
Phone (401) 300-1638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW00957 | Other | RI | LICENSE |
Other providers in Foster, RI
- Lawrence Howard Luppi
- Rodney Lybarger
- Kristin Maiello
- Carol M Mauro
- Kim Marie Medeiros-Cannata
- Christian P. Mueller
- Wendy Mumford
- Nancy Ann Nursing Home, Inc.
- Carol Niederer
- Northwest Community Health Care
All providers in Foster, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. 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.