Individual provider · Type 1 NPI

Carolyn Mercedes Moore, MSW, LCSW

Clinical Social Worker · Tampa, FL

NPI number 1922699602 Active

Practice location

4700 N Habana Ave Ste 703
Tampa, FL 33614-7122

Call (941) 499-0463 Map

Mailing address

9481 Dowden Rd, Apt 5102
Orlando, FL 32832

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X16965 (FL)
Clinical Social Worker Primary 1041C0700XSW16965 (FL)

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 1922699602

Carolyn Mercedes Moore, MSW, LCSW's National Provider Identifier is 1922699602, issued on Jan 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Sep 22, 2026.