Individual provider · Type 1 NPI

Doris Ann Moore-Russell, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1255321592 Active

Practice location

111 Lamon St, Suite 212
Fayetteville, NC 28301-4957

Call (910) 429-2222 Map

Fax (910) 429-2222

Mailing address

6208 King Hiram Rd
Hope Mills, NC 28348-9767

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004369 (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 1255321592

Doris Ann Moore-Russell, LCSW's National Provider Identifier is 1255321592, issued on Oct 27, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 13, 2026.