Individual provider · Type 1 NPI

Jimmy Moore, MSW, LCSW

Clinical Social Worker · Salem, VA

NPI number 1649232109 Active

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6404

Call (540) 983-1018 Map

Fax (540) 224-1932

Mailing address

172 Forest Dr
Salem, VA 24153-6860

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002321 (VA)

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 1649232109

Jimmy Moore, MSW, LCSW's National Provider Identifier is 1649232109, issued on Apr 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, VA. The record was last updated on Jul 13, 2026.