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

Mr. Derrick Michael Moore, LMSW

Individual provider Social Worker · NPI 1902950736

Mr. Derrick Michael Moore, LMSW is a Social Worker in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1500 E Woodrow Wilson Dr
Jackson, MS 39216-5199
Phone: (601) 362-4471
Fax: (601) 368-4093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence C6782 (MS)

Record details

NPI number1902950736
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address5354 Keele St, Jackson, MS 39206-4106

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