Individual provider · Type 1 NPI
Penelope Anne Moore, MA MED MSW LICSW
Clinical Social Worker · Belmont, MA
Practice location
64 Royal Road
Belmont, MA 02478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 217592 (MA) |
| Mental Health Counselor | 101YM0800X | 1801 (MA) |
| Marriage & Family Therapist | 106H00000X | 939 (MA) |
| Clinical Social Worker Primary | 1041C0700X | 120302 (MA) |
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 1609912294
Penelope Anne Moore, MA MED MSW LICSW's National Provider Identifier is 1609912294, issued on Jan 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Belmont, MA. The record was last updated on Jun 16, 2017.