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

Mr. Jevon Moore, LLMSW

Individual provider Clinical Social Worker · NPI 1770135253

Mr. Jevon Moore, LLMSW is a Clinical Social Worker in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

1000 S State St
Ann Arbor, MI 48109-2201
Phone: (734) 615-2010
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 6801103789 (MI)

Record details

NPI number1770135253
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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