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MS. MARY J MOORE LMSW
NPI 1861186769
Social Worker in Tyler, TX

Active since June 05, 2023
428 CENTENNIAL PKWY, TYLER, TX 75703(903) 266-5900 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary J Moore Lmsw NPPES

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

MS. MARY J MOORE LMSW (NPI 1861186769) is an individual social worker in Tyler, Texas, licensed in Texas (25651) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1861186769
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. MARY J MOORECredential: LMSW
Location Address428 CENTENNIAL PKWYTyler, TX 75703-7166
Mailing Address428 Centennial PkwyTyler, TX 75703-7166 · (903) 266-5900
Phone(903) 266-5900
Sole ProprietorYes
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1861186769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in TX · 25651
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
428 CENTENNIAL PKWY, Tyler, TX 75703
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

CLARICE MICHELLE MCDANIELS MS, RD, LD
Dietitian, Registered
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
ALICE SEAVON BLACK OPTHALMIC ASSISTANT
Technician/Technologist (Ophthalmic Assistant)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
MRS. HOPE ELAINE BARHAM APRN
Registered Nurse (Psychiatric/Mental Health)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
KAYLA BORGES AU.D.
Audiologist
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (855) 375-6930
AMANDA LEIGH SHUTTLESWORTH LMSW
Social Worker
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
DALLAS VAMC
Clinic/Center (VA)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (615) 355-3451
DR. SARAH SAMUEL DDS
Dentist (General Practice)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900
CHRISTOPHER PERKINS DO
Preventive Medicine (Public Health & General Preventive Medicine)
428 CENTENNIAL PKWY
TYLER, TX 75703
Smith County (903) 266-5900

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1861186769. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Mary Moore located?

Mary Moore practices at 428 Centennial Pkwy, Tyler, TX 75703. The listed phone number is (903) 266-5900.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.