Individual provider · Type 1 NPI

Maya Rene Moore, LICSW

Clinical Social Worker · Kelso, WA

NPI number 1881264406 Active

Practice location

1710 Allen St
Kelso, WA 98626-4907

Call (360) 261-7020 Map

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61368575 (WA)

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 1881264406

Maya Rene Moore, LICSW's National Provider Identifier is 1881264406, issued on Jun 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kelso, WA. The record was last updated on Jul 12, 2023.