Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRICK MICHAEL MOORE, LMSW
Active Sole ProprietorMR. DERRICK MICHAEL MOORE, LMSW is a Social Worker healthcare provider located in JACKSON, Mississippi. NPI 1902950736 is currently active in the NPPES registry. Verify at CMS.
Social Worker · JACKSON, MS
Registration Details
- NPI Number
- 1902950736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.584713679509 yrs)
- Last Updated
- Nov 27, 2024
- License
-
C6782 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 E. WOODROW WILSON DR.JACKSON, MS, 392165199Browse MS providers · Browse ZIP 39216
- Phone
- 6013624471
- Fax
- 6013684093
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| SHAWANA RENAE JONES | LMSW | 1881793412 |
| MR. TIMOTHY ANDREW NEYLAND SR. | LMSW | 1396844809 |
| MRS. SHERRY IVONA MCCOY | LMSW | 1063511137 |
| ROSETTA S BAILEY | LCSW | 1922107366 |
| MR. THOMAS MALONE JR. | LMSW | 1730288051 |
| DAVID JORDAN | LCSW | 1447330444 |
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.