Individual provider · Type 1 NPI

Mary Ann Moore, L.C.S.W.

Clinical Social Worker · St. Louis, MO

NPI number 1346258761 Active

Practice location

3309 S Kingshighway Blvd
St. Louis, MO 63139-1101

Call (314) 534-9350 Map

Fax (314) 533-6047

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004564 (MO)

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 1346258761

Mary Ann Moore, L.C.S.W.'s National Provider Identifier is 1346258761, issued on Aug 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Jul 9, 2007.