Mrs Latise Moore, in Charlotte, NC - Social Worker

Mrs Latise Moore, is a Social Worker - Clinical based in Charlotte, North Carolina. Mrs Latise Moore is licensed to practice in Virginia (license number 0904010731) and her current practice location is 9336 Kings Parade Blvd Apt 3225, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (757) 535-6678.

NPI number for Mrs Latise Moore is 1003467796 and her current mailing address is 9336 Kings Parade Blvd Apt 3225, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003467796.

Contact Information

	Mrs Latise Moore,
	9336 Kings Parade Blvd Apt 3225, Charlotte, NC 28273-5858
	(757) 535-6678
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Latise Moore
Gender	Female
Speciality	Social Worker - Clinical
Location	9336 Kings Parade Blvd Apt 3225, Charlotte, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1003467796
Provider Enumeration Date: 09/24/2019
Last Update Date: 09/24/2019

Medical Identifiers

Medical identifiers for Mrs Latise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003467796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C012178 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	0904010731 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Latise Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Latise Moore, 9336 Kings Parade Blvd Apt 3225, Charlotte, NC 28273-5858 Ph: (757) 535-6678	Mrs Latise Moore, 9336 Kings Parade Blvd Apt 3225, Charlotte, NC 28273-5858 Ph: (757) 535-6678

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Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Mrs Latise Moore, - Clinical Social Worker in Charlotte, NC