Individual provider · Type 1 NPI
John Micheal Moore, LCSW
Clinical Social Worker · East Islip, NY
Practice location
15 Bayview Ave
East Islip, NY 11730-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R042827-1 (NY) |
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 1154635076
John Micheal Moore, LCSW's National Provider Identifier is 1154635076, issued on Aug 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Islip, NY. The record was last updated on Aug 3, 2010.