Individual provider · Type 1 NPI

Jacob L. Moore, MSW, LCSWA

Clinical Social Worker · Gastonia, NC

NPI number 1073293684 Active

Practice location

2550 Court Dr
Gastonia, NC 28054-2152

Call (252) 773-0195 Map

Fax (252) 773-0214

Mailing address

326 Lytton Farm Rd
Troutman, NC 28166-8663

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XP019400 (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 1073293684

Jacob L. Moore, MSW, LCSWA's National Provider Identifier is 1073293684, issued on Jul 19, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gastonia, NC. The record was last updated on Jul 19, 2023.