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

Mallory Marshall Moore, LSW

Individual provider Clinical Social Worker · NPI 1467346684

Mallory Marshall Moore, LSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

123 Chestnut St Ste 304
Philadelphia, PA 19106-3059
Phone: (215) 399-4128
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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 SW142789 (PA)

Record details

NPI number1467346684
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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