Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA LYNELLE MOORE, MSW, LICSW, PHD
Active Sole ProprietorMS. LISA LYNELLE MOORE, MSW, LICSW, PHD is a Clinical Social Worker healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1336462324 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1336462324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2010 (16.4295855389 yrs)
- Last Updated
- May 4, 2018
- License
-
115630 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2637 27TH AVE S STE 231MINNEAPOLIS, MN, 554063196Browse MN providers · Browse ZIP 55406
- Phone
- 5035284033
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| ANN P GILLIGAN | MA, LICSW | 1902807886 |
| KARYN MARIE ERTEL | LICSW | 1932184504 |
| MARY C VOSS | — | 1174509970 |
| MARTHA SUSAN CARTER | LICSW | 1902883283 |
| MS. SHERYL A BROWN | MSW, LICSW | 1497732440 |
| MRS. MARJORE IRENE THOMPSON | LICSW | 1184694101 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.