Individual provider · Type 1 NPI

Elyza Moore, LICSW

Clinical Social Worker · Burlington, VT

NPI number 1003575002 Active

Practice location

1138 Pine St
Burlington, VT 05401-5353

Call (802) 488-6000 Map

Fax (802) 488-6919

Mailing address

102 S Winooski Ave
Burlington, VT 05401-7406

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0124729 (VT)

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 1003575002

Elyza Moore, LICSW's National Provider Identifier is 1003575002, issued on Dec 17, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, VT. The record was last updated on Apr 29, 2025.