Individual provider · Type 1 NPI
Shelley Lynn Maryott-Moore, LICSW, GMHS, CMHS
Clinical Social Worker · Longview, WA
Practice location
921-14TH Ave.
Longview, WA 98632
Fax (360) 423-2311
Mailing address
Lower Columbia Mental Health/ccga, 921-14TH Avenue
Longview, WA 98632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW00007954 (WA) |
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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- Norine A. Meyer, LICSWClinical Social Worker Longview, WA NPI 1124141668
- Carly Hensley, MSW, LICSW, MHPClinical Social Worker Longview, WA NPI 1184249849
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About NPI 1720103708
Shelley Lynn Maryott-Moore, LICSW, GMHS, CMHS's National Provider Identifier is 1720103708, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Longview, WA. The record was last updated on Jul 8, 2007.