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

Individual provider Clinical Social Worker · NPI 1962805960

Liani Luisa Moore, LICSW is a Clinical Social Worker in Pawtucket, Rhode Island. Qualified in 2011, 15 years ago. Practices with Northeast Health Services LLC, a 469-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
15
Licensed in
MA, RI
In the registry since
2014
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1499 Newport Ave
Pawtucket, RI 02861-1342
Phone: (401) 271-6191
Fax: (401) 859-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24 Amey St Fl 3, Pawtucket, RI 02860-1107 — (401) 271-6191

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04680 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW1143055 (MA)

Record details

NPI number1962805960
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 3, 2014
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 12, Pawtucket, RI 02862-0012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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