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

Individual provider Clinical Social Worker · NPI 1073756540

Mary B Moore, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
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

6115 Park South Dr Ste 130
Charlotte, NC 28210-3269
Phone: (704) 552-0116
Fax: (704) 552-7550
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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 C006371 (NC)

Record details

NPI number1073756540
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 14, 2009
Last updated in NPPESApril 14, 2009

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