Individual provider · Type 1 NPI

Johnny Oran Moore

Clinical Social Worker · Fayetteville, NC

NPI number 1801783527 Active

Practice location

351 Wagoner Dr Ste 411
Fayetteville, NC 28303-4608

Call (910) 994-2818 Map

Mailing address

842 E Orange St
Fayetteville, NC 28301-4676

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP0222296 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-30776 (NC)

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 1801783527

Johnny Oran Moore's National Provider Identifier is 1801783527, issued on Jun 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 24, 2025.