Individual provider · Type 1 NPI

Kenisha Nicole Moore

Clinical Social Worker · Fairfax, VA

NPI number 1376140970 Active

Practice location

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Call (703) 599-3000 Map

Mailing address

5967 Parsons Ln
King George, VA 22485-2434

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1376140970

Kenisha Nicole Moore's National Provider Identifier is 1376140970, issued on Oct 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jan 25, 2024.