Individual provider · Type 1 NPI
Kenneth Jerald Moore, PHD LCSW
Clinical Social Worker · Tulsa, OK
Practice location
6906 S Utica Pl
Tulsa, OK 74136-5158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2165 (OK) |
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…
Another provider at this address
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About NPI 1376722348
Kenneth Jerald Moore, PHD LCSW's National Provider Identifier is 1376722348, issued on Oct 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tulsa, OK. The record was last updated on Aug 14, 2009.