| Doctor Name: | MS. JERRI ANN MOORE-DENCAUSE |
| NPI Number: | 1023181856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW 12788 |
| Business Practice Address: | 385 Harbor Blvd Suite 230-a Destin, FL - 325412351 |
| Business Phone Number: | 8437295863 |
| Business Fax Number: | 8504608978 |
| Mailing Address: | 708 Marsh Harbor Dr, MARY ESTHER |
| State: | FL |
| Postal Code: | 325691435 |
| Phone Number: | 8437295863 |
| Fax Number: | 8504608978 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 12788 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |