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

Mary Moore, LCSW-C

Individual provider Clinical Social Worker · NPI 1316234750

Mary Moore, LCSW-C is a Clinical Social Worker in Edgewater, Maryland. Qualified in 2008, 18 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
18
Licensed in
MD
In the registry since
2011

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1712
Edgewater, MD 21037-7712
Phone: (410) 999-9999
Fax: (443) 782-3497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20339 (MD)

Record details

NPI number1316234750
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedJuly 6, 2011
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing addressPo Box 1712, Edgewater, MD 21037-7712

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Edgewater