Individual provider · Type 1 NPI

Janiyah Renee Moore, LCSWA

Clinical Social Worker · Statesville, NC

NPI number 1053180802 Active

Practice location

1450 Fern Creek Dr
Statesville, NC 28625-9376

Call (704) 818-9191 Map

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023509 (NC)

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 1053180802

Janiyah Renee Moore, LCSWA's National Provider Identifier is 1053180802, issued on Dec 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Statesville, NC. The record was last updated on Jul 9, 2026.