MS. QUEENIE MAE MOORE
NPI 1669656484
Counselor in New Haven, CT

Q: What is Queenie Moore's NPI number?

The NPI number for Queenie Moore is 1669656484. It was assigned to this individual provider in the NPPES registry on December 28, 2007. The provider is also known as Queenie Conner Moore Ms, Ladc.

Q: What is Queenie Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Queenie Moore was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 28, 2007

1415 STATE ST, NEW HAVEN, CT 06511(203) 691-1038(203) 691-1038 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Ms. Queenie Mae Moore NPPES

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

MS. QUEENIE MAE MOORE (NPI 1669656484) is an individual counselor in New Haven, Connecticut, licensed in Connecticut (000755) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1669656484

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. QUEENIE MAE MOORE

Location Address1415 STATE STNew Haven, CT 06511-2702

Mailing Address221 Howard Ave, NoneNew Haven, CT 06519-2727 · (203) 781-4646 · Fax (203) 781-4705

Phone(203) 691-1038

Fax(203) 691-1038

Sole ProprietorYes

Enumeration DateDecember 28, 2007

✔ NPI 1669656484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CT · 000755

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1415 STATE ST, New Haven, CT 06511

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Other Names 1

Former Name (1)Queenie Conner Moore Ms, Ladc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Queenie Moore's NPI number?

The NPI number for Queenie Moore is 1669656484. It was assigned to this individual provider in the NPPES registry on December 28, 2007. The provider is also known as Queenie Conner Moore Ms, Ladc.

Where is Queenie Moore located?

Queenie Moore practices at 1415 State St, New Haven, CT 06511. The listed phone number is (203) 691-1038.

What is Queenie Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Queenie Moore accept?

Health plans from Providence Health Plan list Queenie Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Queenie Moore was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.