Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902950736 Individual Practitioner Male Practitioner

Derrick Michael Moore , LMSW

Social Worker • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Derrick Moore, LMSW is a registered healthcare professional specializing in Social Worker in Jackson, MS. Practice services are available at 1500 E. WOODROW WILSON DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E. Woodrow Wilson Dr.

Jackson, MS 392165199

Telephone 6013624471
Fax 6013684093
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
102 Specialists

Practicing in Jackson, MS (867 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-27
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MS C6782

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Melissa Graig , RN

Registered Nurse

NPI 1003151135

Registered Nurse

NPI 1003228719

Doctor of Philosophy (Ph.D.)

Lillian Roberson

Technician - Attendant Care Provider

NPI 1003777434
NPI 1003911231

Registered Pharmacist

Brenda Day , CLINICAL NURSE SPECI

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1003996265

CLINICALNURSESPECI

Angela Causey , MS, RD

Dietitian, Registered

NPI 1013011329

Master of Science, Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2024

Social Worker (License #C6782 in MS)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1500 E. WOODROW WILSON DR., JACKSON, MS 392165199 (Tel: 6013624471)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5354 KEELE ST, JACKSON, MS 392064106 (Tel: 6014542080)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DERRICK MOORE, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #M6782 in MS)

🟢
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902950736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: November 27, 2024
Sole Proprietor: Yes

Mailing Address

5354 Keele St

Jackson, MS 392064106

Phone: 6014542080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.