Individual provider · Type 1 NPI
Latise Moore
Clinical Social Worker · Charlotte, NC
Practice location
9336 Kings Parade Blvd Apt 3225
Charlotte, NC 28273-5858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | C012178 (NC) |
| Clinical Social Worker Primary | 1041C0700X | 0904010731 (VA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1003467796
Latise Moore's National Provider Identifier is 1003467796, issued on Sep 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Sep 24, 2019.