Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDRICK ALLEN MOORE SR., LISW
ActiveMR. FREDRICK ALLEN MOORE SR., LISW is a Clinical Social Worker healthcare provider located in TRAVIS AFB, California. NPI 1356857650 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1356857650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2017 (8.6056831398467 yrs)
- Last Updated
- May 1, 2023
- Licenses
-
LMSW-16287 (AZ)I.2002107 (OH)
Practice Information
- Address
-
101 BODIN CIRTRAVIS AFB, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 7074235174
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT NEIL WILLIAMS | LCSW | 1386638658 |
| WILLIAM ANTHONY KIEFFER | PH.D | 1619964285 |
| EDWIN D. CROUSE | — | 1376531491 |
| MR. JOHN EDWARD SIMONS | LCSW | 1013991298 |
| DR. MICHAEL BYRON SLACK | PH.D | 1104939222 |
| MS. KEITH SCHADE BARONSKY | LCSW | 1679689178 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.