Individual provider · Type 1 NPI

Gwendolyn Sheunta Moore, BSW, LCSWA

Clinical Social Worker · Ahoskie, NC

NPI number 1457042962 Active

Practice location

120 Health Center Dr
Ahoskie, NC 27910-8161

Mailing address

113 Chamblee Ave
Ahoskie, NC 27910-9761

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP018833 (NC)

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 1457042962

Gwendolyn Sheunta Moore, BSW, LCSWA's National Provider Identifier is 1457042962, issued on May 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ahoskie, NC. The record was last updated on May 16, 2023.