Individual provider · Type 1 NPI

Stephanike Moore, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1629679352 Active

Practice location

3771 Ravenwood Ave
Baltimore, MD 21213-2021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22709 (MD)

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 1629679352

Stephanike Moore, LCSW-C's National Provider Identifier is 1629679352, issued on Nov 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Nov 9, 2020.