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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245685569

Jesalyn Moore, LCSW, LSATP, CAADC is an Addiction (Substance Use Disorder) Counselor in Williamsburg, Virginia. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

138 John Rolfe Ln
Williamsburg, VA 23185-1412
Phone: (757) 508-2649
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1245685569
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LSATP , CAADC
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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