Individual provider · Type 1 NPI

Fredrick Allen Moore Sr., LISW

Clinical Social Worker · Travis Afb, CA

NPI number 1356857650 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Call (707) 423-5174 Map

Mailing address

520 Waldron St
Travis Afb, CA 94535-2119

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLMSW-16287 (AZ)
Clinical Social Worker Primary 1041C0700XI.2002107 (OH)

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 1356857650

Fredrick Allen Moore Sr., LISW's National Provider Identifier is 1356857650, issued on Dec 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Travis Afb, CA. The record was last updated on May 1, 2023.