Provider Demographics
NPI:1184511941
Name:MOORE, JANEQUA SHONTA (LMSW)
Entity type:Individual
Prefix:MISS
First Name:JANEQUA
Middle Name:SHONTA
Last Name:MOORE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 CENTER ST STE 1401
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-2644
Mailing Address - Country:US
Mailing Address - Phone:501-412-5327
Mailing Address - Fax:501-374-2420
Practice Address - Street 1:323 CENTER ST STE 1401
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2644
Practice Address - Country:US
Practice Address - Phone:501-412-5327
Practice Address - Fax:501-374-2420
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR13337M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker