Moore-Dencause, Jerri Ann
Moore-Dencause, Jerri Ann is an individual health care provider with primary practice located at 1400 27Th St , Vero Beach FL 32960-0303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore-Dencause, Jerri Ann can be contacted via phone (772) 257-8224.Contact Information
Primary practice address
1400 27Th St
Vero Beach FL 32960-0303
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 12788 | Florida |
Profile Details
| NPI number | 1023181856 |
|---|---|
| LBN Legal business name | Moore-Dencause, Jerri Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Mar 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023181856 | NPPES |
| Florida | Other | SW12788 | STATE LICENSE |
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