Individual provider · Type 1 NPI

Susan Moore, LLMSW

Clinical Social Worker · Flint, MI

NPI number 1619799657 Active

Practice location

6211 Taylor Dr
Flint, MI 48507-4665

Mailing address

525 Okemos St
Mason, MI 48854-1224

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1619799657

Susan Moore, LLMSW's National Provider Identifier is 1619799657, issued on Oct 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flint, MI. The record was last updated on Aug 28, 2025.