Brenee' D Moore, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086022 Issued in MI

Practice address

259 E Chicago St
Coldwater, MI 49036-2046

Phone

(517) 320-5657

Fax

(517) 278-8901

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moore Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Coldwater, MI
  • NPI 1366638264
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1790959575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362046",
            "telephone_number": "517-320-5657",
            "fax_number": "517-278-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362046",
            "telephone_number": "517-320-5657",
            "fax_number": "517-278-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRENEE'",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoey Mobley
• Michael Damian Moleski, MD
• Tara Lyn Montgomery-Johnson, PA-C
• Janet Louise Moon, RN
• Moore Counseling Services, Inc.
• Emma Lauren Moore
• John Alexander Moore, D.O.
• Angela Kay Morris, RN
• Robert Stephen Moskalik, MD
• Candi Ann Moyer

• Clinical Social Worker in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.