Individual provider · Type 1 NPI

Mary Shannon Moore, LCSW

Clinical Social Worker · Lowell, MA

NPI number 1649590563 Active

Practice location

35 John St
Lowell, MA 01852-1101

Call (978) 275-3879 Map

Fax (978) 275-6480

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X118232 (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 1649590563

Mary Shannon Moore, LCSW's National Provider Identifier is 1649590563, issued on Jun 2, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lowell, MA. The record was last updated on Nov 13, 2014.