Individual provider · Type 1 NPI

Jordan Moore, LICSW

Clinical Social Worker · Somerville, MA

NPI number 1932552478 Active

Practice location

40 Holland St
Somerville, MA 02144-2705

Mailing address

287 Huron Ave, #2
Cambridge, MA 02138-1303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X119596 (MA)

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 1932552478

Jordan Moore, LICSW's National Provider Identifier is 1932552478, issued on Jul 20, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Somerville, MA. The record was last updated on Jul 20, 2016.