Individual provider · Type 1 NPI

Ryan Moore

Clinical Social Worker · Williamsburg, VA

NPI number 1821969916 Active

Practice location

1318 Jamestown Rd Ste 102
Williamsburg, VA 23185-3382

Fax (757) 834-8861

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0709026539 (VA)
Clinical Social Worker Primary 1041C0700X0906017010 (VA)

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 1821969916

Ryan Moore's National Provider Identifier is 1821969916, issued on Sep 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Williamsburg, VA. The record was last updated on Sep 13, 2025.