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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA RENEE MOORE, LCSW

Active Sole Proprietor

MRS. LISA RENEE MOORE, LCSW is a Clinical Social Worker healthcare provider located in CHARLESTON, Mississippi. NPI 1922778935 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHARLESTON, MS

Registration Details

NPI Number
1922778935
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2021 (4.8561258512691 yrs)
Last Updated
Sep 20, 2021
License
C2276 (MS)
Sole Proprietor
Yes

Practice Information

Address
3005 TEASDALE RD
CHARLESTON, MS, 389219576
Browse MS providers · Browse ZIP 38921
Phone
6628090208
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHARLESTON, MS

Name Credential NPI
ANGELA MILLER LCSW 1871068395
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.