Individual provider · Type 1 NPI
Tabatha Eva Moore
Clinical Social Worker · Raleigh, NC
Practice location
1100 Logger Ct Apt D
Raleigh, NC 27609-8525
Fax (919) 844-7771
Mailing address
1100 Logger Ct
Raleigh, NC 27609-8525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | LCAS-2896 (NC) |
| Clinical Social Worker Primary | 1041C0700X | P014337 (NC) |
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 1639696115
Tabatha Eva Moore's National Provider Identifier is 1639696115, issued on Aug 25, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Apr 13, 2020.