George J Moore, LCSW
George J Moore, LCSW is a Clinical Social Worker in Brookings, Oregon. Qualified in 2009, 17 years ago. Practices with Redwoods Rural Health Center Inc, a 14-clinician group. Licensed in California and New York.
- Years since qualifying
- 17
- Licensed in
- CA, NY
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
1445 Seacrest Ln Apt 5Brookings, OR 97415-8133
Phone: (315) 876-4419
Fax: (315) 635-1865
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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 082400 (NY) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 080335 (NY) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 93051 (CA) |
Record details
| NPI number | 1245517895 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | November 10, 2011 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 1445 Seacrest Ln Apt 5, Brookings, OR 97415-8133 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Redwoods Rural Health Center Inc — 14 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Brookings
-
Jo Ann Rowan-Nichols, CSWA
615 5th St # 300, Brookings, OR 97415-9199 · (541) 425-7545