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

Mildred Paulette Moore, LISW-S

Individual provider Clinical Social Worker · NPI 1780199083

Mildred Paulette Moore, LISW-S is a Clinical Social Worker in Columbus, Ohio. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

825 Grandview Ave
Columbus, OH 43215-1123
Phone: (614) 286-4390
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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

Record details

NPI number1780199083
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedDecember 8, 2017
Last updated in NPPESDecember 8, 2017

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