Individual provider · Type 1 NPI

Susan Diamond Moore, L.C.S.W.

Clinical Social Worker · Berkeley, CA

NPI number 1295889756 Active

Practice location

3001 Dana St
Berkeley, CA 94705-2041

Fax (510) 635-2440

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS13905 (CA)

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 1295889756

Susan Diamond Moore, L.C.S.W.'s National Provider Identifier is 1295889756, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berkeley, CA. The record was last updated on Jul 8, 2007.