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MR. SHERMAN CORNELL MOORE SR. CDCA
NPI 1710452057
Counselor - Addiction (Substance Use Disorder) in Boardman, OH

Active since October 12, 2018
930 TRAILWOOD DR, BOARDMAN, OH 44512(513) 834-7063 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Sherman Cornell Moore Sr. Cdca NPPES

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

MR. SHERMAN CORNELL MOORE SR. CDCA (NPI 1710452057) is an individual addiction (substance use disorder) provider in Boardman, Ohio, licensed in Ohio (CDCA.150745) and active in the NPI registry since October 2018. He maintains a secondary practice location in Ravenna.

NPPES Registry Identity

NPI1710452057
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SHERMAN CORNELL MOORE SR.Credential: CDCA
Location Address930 TRAILWOOD DRBoardman, OH 44512-5007
Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (513) 834-7063
Phone(513) 834-7063
Sole ProprietorNo
Enumeration DateOctober 12, 2018
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1710452057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.150745
930 TRAILWOOD DR, Boardman, OH 44512
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Secondary Practice Location 1

Location 16693 N Chestnut StRavenna, OH 44266-3922 · Phone (330) 296-3700

Other Providers at the Same Location NPPES 14

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

JOHN SAFAR CDCA
Counselor (Addiction (Substance Use Disorder))
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (513) 834-7063
TAMMY DECHELLIS RN
Registered Nurse
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (513) 834-7063
KATHLEEN MARIE SHANNON LISW
Social Worker
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (513) 834-7063
MRS. MICHELLE L EVANS CNP
Nurse Practitioner (Adult Health)
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (513) 834-7063
SARA KELLY MILLER RN
Registered Nurse
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (513) 834-7063
ADAPTIVE BIOMECHANICAL INNOVATIONS
Prosthetic/Orthotic Supplier
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (330) 758-1143
KYLA SPIES LICDC
Counselor (Addiction (Substance Use Disorder))
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (833) 510-4357
GENEEN MONTGOMERY LPN
Licensed Practical Nurse
930 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (833) 510-4357

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 Sherman Moore's NPI number?

The NPI number for Sherman Moore is 1710452057. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Sherman Moore located?

Sherman Moore practices at 930 Trailwood Dr, Boardman, OH 44512. The listed phone number is (513) 834-7063.

What is Sherman 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 Sherman Moore was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.