Individual provider · Type 1 NPI

George J. Moore, LCSW

Clinical Social Worker · Fortuna, CA

NPI number 1245517895 Active

Practice location

930 S Fortuna Blvd
Fortuna, CA 95540-3009

Call (707) 923-2783 Map

Mailing address

PO Box 769
Redway, CA 95560-0769

Other practice locations

  • 101 West Coast Rd, Redway, CA 95560 · (707) 923-2783

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X082400 (NY)
Social Worker 104100000X080335 (NY)
Clinical Social Worker Primary 1041C0700X93051 (CA)

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…

2 other providers at this address

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About NPI 1245517895

George J. Moore, LCSW's National Provider Identifier is 1245517895, issued on Nov 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fortuna, CA. The record was last updated on Sep 3, 2026.