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

Lora Shae Moultrie, LCSW

Individual provider Clinical Social Worker · NPI 1063902179

Lora Shae Moultrie, LCSW is a Clinical Social Worker in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

551 National Health Care Dr
Daytona Beach, FL 32114-1495
Phone: (386) 323-7500
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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 SW14467 (FL)

Record details

NPI number1063902179
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESSeptember 18, 2018
Mailing address471 Jeannette Dr, Ormond Beach, FL 32174-6107

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