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

Mr. Fredrick Allen Moore Sr., LISW

Individual provider Clinical Social Worker · NPI 1356857650

Mr. Fredrick Allen Moore Sr., LISW is a Clinical Social Worker in Travis AFB, California. Licensed in Arizona and Ohio. Registered with an NPI since 2017.

Licensed in
AZ, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-5174
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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 I.2002107 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence LMSW-16287 (AZ)

Record details

NPI number1356857650
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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