Individual provider · Type 1 NPI
Krishna Santasha Moore, LCSW
Clinical Social Worker · Forest, MS
Practice location
612 Marion Blvd
Forest, MS 39074-3225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C6811 (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.