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IVONNE MOORE III BA
NPI 1619265832
Counselor - Addiction (Substance Use Disorder) in Worcester, MA

Active since July 21, 2011
484 MAIN ST, SUITE 450, WORCESTER, MA 01608(508) 752-2590(508) 753-5051 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ivonne Moore Iii Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVONNE MOORE III BA (NPI 1619265832) is an individual addiction (substance use disorder) provider in Worcester, Massachusetts and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1619265832
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameIVONNE MOORE IIICredential: BA
Location Address484 MAIN ST, SUITE 450Worcester, MA 01608-1893
Mailing Address105 Merrick StWorcester, MA 01609-1937 · (508) 797-6100 · Fax (508) 797-0693
Phone(508) 752-2590
Fax(508) 753-5051
Sole ProprietorNo
Enumeration DateJuly 21, 2011
✔ NPI 1619265832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
484 MAIN ST, Worcester, MA 01608
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Other Identifiers 5

Medicare PINY10400MA
Medicaid1308785MA
Other22220002001MA · Blue Cross
OtherM18684MA · Blue Cross
Medicaid1306461MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA ROSE MCLAUGHLIN OTR
Occupational Therapist
484 MAIN ST
WORCESTER, MA 01608
Worcester County (800) 244-2756
MS. MARIAM ELLEN GROSSMAN PTA
Physical Therapy Assistant
484 MAIN ST, EASTER SEALS MASSACHUSETTS
WORCESTER, MA 01608
Worcester County (800) 244-2756
MRS. ELSA GRACE HORNE-NAYLOR MS, OTR/L
Occupational Therapist
484 MAIN ST
WORCESTER, MA 01608
Worcester County (800) 244-2756
MR. WILLIAM STEPHEN CANTWELL
Counselor (Mental Health)
484 MAIN ST
WORCESTER, MA 01608
Worcester County (508) 849-5600
MICHAEL ELLSWORTH
Counselor
484 MAIN ST
WORCESTER, MA 01608
Worcester County (508) 890-6519
JULIE ELLSWORTH PT, DPT
Physical Therapist
484 MAIN ST
WORCESTER, MA 01608
Worcester County (800) 244-2756
CASSANDRA BOLLES
Occupational Therapist
484 MAIN ST
WORCESTER, MA 01608
Worcester County (800) 244-2756
ANDREA VINCENT DPT
Physical Therapist
484 MAIN ST
WORCESTER, MA 01608
Worcester County (800) 244-2756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivonne Moore's NPI number?

The NPI number for Ivonne Moore is 1619265832. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Ivonne Moore located?

Ivonne Moore practices at 484 Main St Suite 450, Worcester, MA 01608. The listed phone number is (508) 752-2590.

What is Ivonne Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ivonne Moore was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.