Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teresa Ann Moore

Individual provider Mental Health Counselor · NPI 1558840058

Teresa Ann Moore is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

3027 San Diego Rd
Jacksonville, FL 32207-3691
Phone: (904) 885-0724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558840058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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