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

Jacob L Moore, MSW, LCSWA

Individual provider Social Worker · NPI 1073293684

Jacob L Moore, MSW, LCSWA is a Social Worker in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2550 Court Dr
Gastonia, NC 28054-2152
Phone: (252) 773-0195
Fax: (252) 773-0214
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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 P019400 (NC)
Social Worker Taxonomy 104100000X

Record details

NPI number1073293684
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSWA
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

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