Individual provider · Type 1 NPI

Lora Shae Moultrie, LCSW

Clinical Social Worker · Daytona Beach, FL

NPI number 1063902179 Active

Practice location

551 National Health Care Dr
Daytona Beach, FL 32114-1495

Call (386) 323-7500 Map

Mailing address

471 Jeannette Dr
Ormond Beach, FL 32174-6107

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW14467 (FL)

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 1063902179

Lora Shae Moultrie, LCSW's National Provider Identifier is 1063902179, issued on May 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Daytona Beach, FL. The record was last updated on Sep 18, 2018.