Individual provider · Type 1 NPI

Gary L. Moore, LCSW

Clinical Social Worker · Boise, ID

NPI number 1265442131 Active

Practice location

500 W Fort St, Boise Vamc
Boise, ID 83702-4598

Call (208) 422-1360 Map

Mailing address

PO Box 33
North Fork, ID 83466-0033

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 27136 (ID)

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 1265442131

Gary L. Moore, LCSW's National Provider Identifier is 1265442131, issued on Aug 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.