Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972958080 Individual Practitioner Female Practitioner

Jeneen Moore , MSCCC-SLP

Speech-Language Pathologist • Annandale, VA

Professional Overview & Biography Verified Profile Summary

Jeneen Moore, MSCCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Annandale, VA. Practice services are available at 7010 BRADDOCK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7010 Braddock Rd

Annandale, VA 220036006

Telephone 7039418810
Associated Practice Facility / Clinic
🏢 Phillips Programs Facility NPI 1659453231

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Annandale, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
61 Specialists

Practicing in Annandale, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202001532

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Mollie Kamerow

Occupational Therapist

NPI 1003263286
Ansley Shackelford , LPC, NCC

Counselor - Professional

NPI 1023465077

Licensed Professional Counselor, National Certified Counselor

Julie Martin , MSW, LCSW

Social Worker - Clinical

NPI 1053768069

Master of Social Work, Licensed Clinical Social Worker

Angela Gannon , LCSW

Social Worker - Clinical

NPI 1063751782

Licensed Clinical Social Worker

Katie Miller , LCSW

Social Worker - Clinical

NPI 1124474614

Licensed Clinical Social Worker

Emily House , LCSW

Social Worker - Clinical

NPI 1134468408

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2016

Registered at 7010 BRADDOCK RD, ANNANDALE, VA 220036006 (Tel: 7039418810)

📍
Updated Business Mailing Address April 26, 2016

Registered at 7010 BRADDOCK RD, ANNANDALE, VA 220036006 (Tel: 7039418810)

👤
Provider Name / Credentials Updated April 26, 2016

Recorded as JENEEN MOORE, M.S.CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2016

Speech-Language Pathologist (License #2202001532 in VA)

🟢
Initial NPI Registration & Enumeration April 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972958080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2016
Last Update: April 26, 2016
Sole Proprietor: No

Mailing Address

7010 Braddock Rd

Annandale, VA 220036006

Phone: 7039418810

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.