Individual provider · Type 1 NPI
Gertrude Olivia Moore, LCSW
Clinical Social Worker · Mcdonough, GA
Practice location
922 Highway 81 E Ste 438
Mcdonough, GA 30252-2978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW27185 (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 1992520563
Gertrude Olivia Moore, LCSW's National Provider Identifier is 1992520563, issued on Nov 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 2, 2026.