Individual provider · Type 1 NPI

Tracey Moore, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1144961467 Active

Practice location

4625 Lindell Blvd, Ste 200&300
St. Louis, MO 63108-3725

Mailing address

4625 Lindell Blvd Ste 200&300
St. Louis, MO 63108-3725

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2020037895 (MO)

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 1144961467

Tracey Moore, LCSW's National Provider Identifier is 1144961467, issued on Apr 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Apr 2, 2022.