Individual provider · Type 1 NPI

Jesalyn Moore, LCSW, LSATP, CAADC

Clinical Social Worker · Williamsburg, VA

NPI number 1245685569 Active

Practice location

138 John Rolfe Ln
Williamsburg, VA 23185-1412

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1245685569

Jesalyn Moore, LCSW, LSATP, CAADC's National Provider Identifier is 1245685569, issued on Apr 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Williamsburg, VA. The record was last updated on Oct 2, 2024.