Individual provider · Type 1 NPI

Carrie Johnston Moore, LCSW

Clinical Social Worker · Southlake, TX

NPI number 1386815249 Active

Practice location

532 Silicon Dr Ste 102
Southlake, TX 76092-9018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.0700458 (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 1386815249

Carrie Johnston Moore, LCSW's National Provider Identifier is 1386815249, issued on Mar 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southlake, TX. The record was last updated on Jan 25, 2023.