Individual provider · Type 1 NPI

Mallory Moore

Clinical Social Worker · Columbus, OH

NPI number 1821979741 Active

Practice location

775 W Broad St Ste 260
Columbus, OH 43222-1471

Mailing address

8559 Pitlochry Ct
Dublin, OH 43017-9770

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.2512738 (OH)

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 1821979741

Mallory Moore's National Provider Identifier is 1821979741, issued on Sep 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on May 22, 2026.