Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derik Moore

Individual provider Clinical Social Worker · NPI 1528490877

Derik Moore is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2013.

Licensed in
NJ, PA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

230 S Broad St Ste 1903
Philadelphia, PA 19102-4121
Phone: (267) 258-1027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW018657 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC05928700 (NJ)

Record details

NPI number1528490877
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2013
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024

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