Individual provider · Type 1 NPI

Tamara Rochelle Moore, LCSWA, LCASA

Clinical Social Worker · Fayetteville, NC

NPI number 1871211599 Active

Practice location

439 Ramsey St
Fayetteville, NC 28301-4909

Call (919) 787-6131 Map

Fax (919) 571-2932

Mailing address

3222 Dorian Rd
Fayetteville, NC 28306-7264

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	P018157 (NC)
Addiction (Substance Use Disorder) Counselor	101YA0400X	LCAS-29729 (NC)

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 1871211599

Tamara Rochelle Moore, LCSWA, LCASA's National Provider Identifier is 1871211599, issued on Aug 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 3, 2026.