Individual provider · Type 1 NPI

Kevin Perry Moore, LMSW

Clinical Social Worker · Marietta, GA

NPI number 1477067627 Active

Practice location

1640 Powers Ferry Rd SE Ste 300
Marietta, GA 30067-5491

Call (678) 764-6047 Map

Mailing address

1640 Powers Ferry Rd SE, Blg 7, Ste 300
Marietta, GA 30067-5491

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMSW007027 (GA)

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 1477067627

Kevin Perry Moore, LMSW's National Provider Identifier is 1477067627, issued on Nov 27, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marietta, GA. The record was last updated on Nov 27, 2017.