Individual provider · Type 1 NPI

Mary Moore, LCSW-C

Clinical Social Worker · Edgewater, MD

NPI number 1316234750 Active

Practice location

PO Box 1712
Edgewater, MD 21037-7712

Fax (443) 782-3497

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20339 (MD)

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 1316234750

Mary Moore, LCSW-C's National Provider Identifier is 1316234750, issued on Jul 6, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edgewater, MD. The record was last updated on May 23, 2025.