Individual provider · Type 1 NPI

Wayne L. Moore, LCSW

Clinical Social Worker · Rockland, ME

NPI number 1730280108 Active

Practice location

12 Union Street
Rockland, ME 04841-2739

Fax (207) 701-4486

Mailing address

78 Atlantic Place
South Portland, ME 04106-2316

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC5661

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 1730280108

Wayne L. Moore, LCSW's National Provider Identifier is 1730280108, issued on Sep 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockland, ME. The record was last updated on Apr 6, 2010.