Individual provider · Type 1 NPI

Judith Moll, LCSW

Clinical Social Worker · South Portland, ME

NPI number 1396753117 Active

Practice location

345 Cottage Rd
South Portland, ME 04106-3919

Mailing address

27 Merrimac Pl
Cape Elizabeth, ME 04107-1624

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC4856 (ME)

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 1396753117

Judith Moll, LCSW's National Provider Identifier is 1396753117, issued on Aug 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Portland, ME. The record was last updated on Jul 8, 2007.