Individual provider · Type 1 NPI

Melissa I. Moose, LC SW

Clinical Social Worker · Gastonia, NC

NPI number 1245276385 Active

Practice location

1875 Remount Rd
Gastonia, NC 28054-7413

Call (704) 874-0600 Map

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004426 (NC)

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 1245276385

Melissa I. Moose, LC SW's National Provider Identifier is 1245276385, issued on Jun 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gastonia, NC. The record was last updated on Aug 22, 2025.