Individual
MS. CATHERINE SUSAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1440 YORK AVENUE, #P7, NEW YORK, NY 10021-2577
(212) 717-6913
(212) 717-8284
Mailing address
1440 YORK AVENUE, #P7, NEW YORK, NY 10021-2577
(212) 717-6913
(212) 717-8284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R021375-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109589
GHI-VALUE OPTIONS
NY
01
—
52368688
UNITED BEHAVIORAL HEALTH
NY
Enumeration date
05/04/2007
Last updated
07/08/2007
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