MR. DERRICK MICHAEL MOORE LMSW
NPI 1902950736
Social Worker in Jackson, MS

Q: What is Derrick Moore's NPI number?

The NPI number for Derrick Moore is 1902950736. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Derrick Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrick Moore was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 January 22, 2007

1500 E. WOODROW WILSON DR., JACKSON, MS 39216(601) 362-4471(601) 368-4093 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Derrick Michael Moore Lmsw NPPES

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

MR. DERRICK MICHAEL MOORE LMSW (NPI 1902950736) is an individual social worker in Jackson, Mississippi, licensed in Mississippi (C6782) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902950736

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. DERRICK MICHAEL MOORECredential: LMSW

Location Address1500 E. WOODROW WILSON DR.Jackson, MS 39216-5199

Mailing Address5354 Keele StJackson, MS 39206-4106 · (601) 454-2080

Phone(601) 362-4471

Fax(601) 368-4093

Sole ProprietorYes

Enumeration DateJanuary 22, 2007

Last NPPES UpdateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1902950736 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 MS · C6782

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.

1500 E. WOODROW WILSON DR., Jackson, MS 39216

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Other Providers at the Same Location NPPES 2

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

PAUL BERNARD MATENS LCSW

Social Worker (Clinical)

1500 E. WOODROW WILSON DR., DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER (586/122
JACKSON, MS 39216

Hinds County (601) 362-4471

BONNIE D BOWER NP-C

Nurse Practitioner

1500 E. WOODROW WILSON DR.
JACKSON, MS 39216

Hinds County (601) 364-1358

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 Derrick Moore's NPI number?

The NPI number for Derrick Moore is 1902950736. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Derrick Moore located?

Derrick Moore practices at 1500 E. Woodrow Wilson Dr., Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Derrick 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 Derrick Moore was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.