Individual provider · Type 1 NPI

Elena Ca'ren Moore, MSSA, LSW

Clinical Social Worker · Dayton, OH

NPI number 1770111569 Active

Practice location

7031 Corporate Way Ste 103
Dayton, OH 45459-4262

Call (937) 619-9089 Map

Mailing address

3556 Tivoli Ct
Columbus, OH 43230-5020

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.2004637 (OH)

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 1770111569

Elena Ca'ren Moore, MSSA, LSW's National Provider Identifier is 1770111569, issued on Mar 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on Mar 29, 2020.