Individual provider · Type 1 NPI

Lisa Jeanine Moore, LMSW

Clinical Social Worker · Southfield, MI

NPI number 1295962413 Active

Practice location

22511 Telegraph Rd, Suite 101
Southfield, MI 48033-4115

Call (248) 356-0540 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801078772 (MI)

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 1295962413

Lisa Jeanine Moore, LMSW's National Provider Identifier is 1295962413, issued on Jun 15, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southfield, MI. The record was last updated on Jun 15, 2009.