Individual provider · Type 1 NPI

Timothy Robert Moore, L.C.S.W.

Clinical Social Worker · Palm Springs, CA

NPI number 1508121302 Active

Practice location

490 S Farrell Dr, Ste. 202
Palm Springs, CA 92262-7992

Fax (760) 779-9403

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17927 (CA)

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 1508121302

Timothy Robert Moore, L.C.S.W.'s National Provider Identifier is 1508121302, issued on Jul 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palm Springs, CA. The record was last updated on Jun 21, 2017.