Individual provider · Type 1 NPI

Nicole Sullivan Moore, LCSW

Clinical Social Worker · Columbus, IN

NPI number 1487910550 Active

Practice location

1531 13th St, Suite 2540
Columbus, IN 47201-1300

Fax (812) 372-5367

Mailing address

PO Box 1002
Columbus, IN 47202-1002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003909A (IN)

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 1487910550

Nicole Sullivan Moore, LCSW's National Provider Identifier is 1487910550, issued on Apr 3, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, IN. The record was last updated on Apr 3, 2012.