Individual provider · Type 1 NPI

Vernon Moore, BGA

Clinical Social Worker · Taftville, CT

NPI number 1942638671 Active

Practice location

7.5 North Third Ave
Taftville, CT 06380

Mailing address

255 Hempstead St
New London, CT 06320-6204

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

About NPI 1942638671

Vernon Moore, BGA's National Provider Identifier is 1942638671, issued on Oct 15, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taftville, CT. The record was last updated on Oct 15, 2013.