Individual provider · Type 1 NPI

Sonya Susan Moore, LCSW

Clinical Social Worker · Chesapeake, VA

NPI number 1164078127 Active

Practice location

1015 Eden Way N Ste B
Chesapeake, VA 23320-2787

Call (757) 609-2726 Map

Fax (757) 609-2874

Mailing address

1118 Fairway Dr
Chesapeake, VA 23320-9439

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904011146 (VA)

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 1164078127

Sonya Susan Moore, LCSW's National Provider Identifier is 1164078127, issued on Aug 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chesapeake, VA. The record was last updated on Aug 15, 2019.