Individual provider · Type 1 NPI

Mary Evelyn Moore

Clinical Social Worker · Birmingham, AL

NPI number 1194497974 Active

Practice location

48 Medical Park Dr E Ste 159
Birmingham, AL 35235-3462

Fax (205) 838-3451

Mailing address

48 Medical Park Dr E
Birmingham, AL 35235-3400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4585C (AL)

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 1194497974

Mary Evelyn Moore's National Provider Identifier is 1194497974, issued on Sep 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Birmingham, AL. The record was last updated on Sep 30, 2021.