Individual provider · Type 1 NPI

Eric J. Moore

Clinical Social Worker · Los Angeles, CA

NPI number 1104603711 Active

Practice location

7120 Franklin Ave
Los Angeles, CA 90046-3002

Mailing address

853 N Edgemont St
Los Angeles, CA 90029-2519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X123336 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1104603711

Eric J. Moore's National Provider Identifier is 1104603711, issued on Sep 8, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 16, 2024.