Individual provider · Type 1 NPI

Antionette C. Moore, LCSW

Clinical Social Worker · Twentynine Palms, CA

NPI number 1881097699 Active

Practice location

5715 Utah Trl
Twentynine Palms, CA 92277-6917

Call (760) 367-0730 Map

Fax (760) 367-0728

Mailing address

PO Box 1209
Twentynine Palms, CA 92277-0980

Other practice locations

  • 3625 14th St, Riverside, CA 92501-3815 · (951) 955-1560

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X79025 (CA)

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…

5 other providers at this address

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About NPI 1881097699

Antionette C. Moore, LCSW's National Provider Identifier is 1881097699, issued on Oct 7, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Twentynine Palms, CA. The record was last updated on Oct 18, 2018.