Individual provider · Type 1 NPI
Kevin M. Moore
Clinical Social Worker · Lanham, MD
Practice location
8118 Good Luck Rd
Lanham, MD 20706-3574
Fax (301) 552-8668
Mailing address
8102 Hunters Green Ct
Clinton, MD 20735-2989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 11001 (MD) |
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 1861113342
Kevin M. Moore's National Provider Identifier is 1861113342, issued on Sep 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lanham, MD. The record was last updated on Sep 5, 2022.