Individual provider · Type 1 NPI

Mariah Janine Moore, SWT

Clinical Social Worker · Chardon, OH

NPI number 1598201659 Active

Practice location

401 South St, 4A
Chardon, OH 44024

Mailing address

314 Irma Dr
Chardon, OH 44024-1424

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2103006 (OH)

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 1598201659

Mariah Janine Moore, SWT's National Provider Identifier is 1598201659, issued on Jan 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chardon, OH. The record was last updated on Aug 21, 2021.