Individual provider · Type 1 NPI

Jessica Lee Moore, LICSW

Clinical Social Worker · Roseville, MN

NPI number 1750002929 Active

Practice location

2700 Snelling Ave N Ste 400
Roseville, MN 55113-1783

Call (763) 210-4698 Map

Mailing address

3116 Emerson Ave S Apt 3
Minneapolis, MN 55408-2774

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29099 (MN)

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 1750002929

Jessica Lee Moore, LICSW's National Provider Identifier is 1750002929, issued on Sep 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, MN. The record was last updated on Nov 28, 2023.