Individual provider · Type 1 NPI

Nicole Yu-Lang Gostanian Moore

Clinical Social Worker · Manchester, CT

NPI number 1669181012 Active

Practice location

317 N Main St
Manchester, CT 06042-2007

Call (860) 643-2101 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6517 (CT)

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 1669181012

Nicole Yu-Lang Gostanian Moore's National Provider Identifier is 1669181012, issued on Nov 15, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, CT. The record was last updated on Nov 15, 2022.