Individual provider · Type 1 NPI

Ithaca F. Moore, ASW

Clinical Social Worker · Redwood Valley, CA

NPI number 1821882432 Active

Practice location

6991 N State St
Redwood Valley, CA 95470-9629

Call (707) 671-2330 Map

Mailing address

PO Box 1375
Willits, CA 95490-1375

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW127269 (CA)

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 1821882432

Ithaca F. Moore, ASW's National Provider Identifier is 1821882432, issued on Apr 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redwood Valley, CA. The record was last updated on May 14, 2025.