Individual provider · Type 1 NPI

Marissa Moore, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1306530159 Active

Practice location

9700 Park Plaza Ave Unit 210
Louisville, KY 40241-2287

Call (502) 785-4322 Map

Mailing address

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842

Other practice locations

527 N Joe B Hall Ave, Shepherdsville, KY 40165 · (502) 589-8600

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW00001076 (KY)

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 1306530159

Marissa Moore, LCSW's National Provider Identifier is 1306530159, issued on Jun 5, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on May 13, 2026.