Individual provider · Type 1 NPI

Raven-Symone Moten, LCSW

Clinical Social Worker · Columbus, OH

NPI number 1104663509 Active

Practice location

2947 Daisy Ln
Columbus, OH 43204-2204

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X34011052A (IN)
Clinical Social Worker 1041C0700X6801117240 (MI)
Clinical Social Worker Primary 1041C0700XI.2405232 (OH)

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 1104663509

Raven-Symone Moten, LCSW's National Provider Identifier is 1104663509, issued on Jul 11, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jul 11, 2024.