Individual provider · Type 1 NPI

Lisa Renee Moore, LCSW

Clinical Social Worker · Charleston, MS

NPI number 1922778935 Active

Practice location

3005 Teasdale Rd
Charleston, MS 38921-9576

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC2276 (MS)

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 1922778935

Lisa Renee Moore, LCSW's National Provider Identifier is 1922778935, issued on Sep 20, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, MS. The record was last updated on Sep 20, 2021.