Individual provider · Type 1 NPI

Anastasia Moore

Clinical Social Worker · Jacksonville, FL

NPI number 1245789478 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW18395 (FL)

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 1245789478

Anastasia Moore's National Provider Identifier is 1245789478, issued on Sep 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 2, 2026.