Individual provider · Type 1 NPI

Mildred Paulette Moore, LISW-S

Clinical Social Worker · Columbus, OH

NPI number 1780199083 Active

Practice location

825 Grandview Ave
Columbus, OH 43215-1123

Call (614) 286-4390 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1780199083

Mildred Paulette Moore, LISW-S's National Provider Identifier is 1780199083, issued on Dec 8, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Dec 8, 2017.