Individual provider · Type 1 NPI

Patricia Marie Moore, LMSW, CASAC2

Addiction (Substance Use Disorder) Counselor · Middletown, NY

NPI number 1053915538 Active

Practice location

15 Fortune Rd W
Middletown, NY 10941-1625

Mailing address

103 Lincoln Ct
Milford, PA 18337-4434

Other practice locations

  • 7 Railroad Ave, Middletown, NY 10940-4907 · (845) 342-5941

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053915538

Patricia Marie Moore, LMSW, CASAC2's National Provider Identifier is 1053915538, issued on Nov 25, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Middletown, NY. The record was last updated on Sep 11, 2025.