Individual provider · Type 1 NPI
Levi Moore
Clinical Social Worker · Boise, ID
Practice location
10530 W Lancelot Ave, Telehealth Only
Boise, ID 83704-5249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1407581226
Levi Moore's National Provider Identifier is 1407581226, issued on Jul 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Oct 8, 2025.