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

Individual provider Clinical Social Worker · NPI 1154332609

Mr. John Patrick Moore, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Veterans Drive VA Medical Center (116A2/3)
Minneapolis, MN 55417
Phone: (612) 467-4783
Fax: (612) 467-5309
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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 13225 (MN)

Record details

NPI number1154332609
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 8, 2007

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