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TACHICO LANEE MOORE S.S.T
NPI 1770823825
Case Manager/Care Coordinator in Detroit, MI

Active since February 27, 2013
2925 RUSSELL ST, DETROIT, MI 48207(313) 695-4560 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tachico Lanee Moore S.s.t NPPES

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

TACHICO LANEE MOORE S.S.T (NPI 1770823825) is an individual case manager/care coordinator provider in Detroit, Michigan and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1770823825
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTACHICO LANEE MOORECredential: S.S.T
Location Address2925 RUSSELL STDetroit, MI 48207-4825
Mailing Address2925 Russell StDetroit, MI 48207-4825 · (313) 695-4560
Phone(313) 695-4560
Sole ProprietorNo
Enumeration DateFebruary 27, 2013
✔ NPI 1770823825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2925 RUSSELL ST, Detroit, MI 48207
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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.

MARCIA M WICKER RN
Registered Nurse
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
SAMARA JOHNSON
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (888) 813-8326
MS. CATHY LYNN EUSEARY CARE COORDINATOR
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
CAMILLA YAVETTE WILLIAMS MSW
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
BRIDGET MYKE CTRS
Recreation Therapist
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
AUSTIN DAVID URLAUB LLMSW, DP-C
Social Worker
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
SANDRA FAYE DEH
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
MRS. TONI RENEE BUNTON MSW
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 389-3963

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 Tachico Moore's NPI number?

The NPI number for Tachico Moore is 1770823825. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Tachico Moore located?

Tachico Moore practices at 2925 Russell St, Detroit, MI 48207. The listed phone number is (313) 695-4560.

What is Tachico Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tachico Moore was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.