Individual provider · Type 1 NPI
Ryan Moore
Clinical Social Worker · Williamsburg, VA
Practice location
1318 Jamestown Rd Ste 102
Williamsburg, VA 23185-3382
Fax (757) 834-8861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0709026539 (VA) |
| Clinical Social Worker Primary | 1041C0700X | 0906017010 (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.