Individual provider · Type 1 NPI

Crystal Dea Moore, PhD, M.S.W., M.A.

Clinical Social Worker · Albany, NY

NPI number 1245548080 Active

Practice location

902 Washington Ave
Albany, NY 12203-1716

Fax (518) 453-9436

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	077736-1 (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 1245548080

Crystal Dea Moore, PhD, M.S.W., M.A.'s National Provider Identifier is 1245548080, issued on Sep 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, NY. The record was last updated on Sep 15, 2010.