Individual provider · Type 1 NPI

Krishna Santasha Moore, LCSW

Clinical Social Worker · Forest, MS

NPI number 1356744114 Active

Practice location

612 Marion Blvd
Forest, MS 39074-3225

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC6811 (MS)

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…

About NPI 1356744114

Krishna Santasha Moore, LCSW's National Provider Identifier is 1356744114, issued on Oct 7, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest, MS. The record was last updated on Oct 7, 2014.