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

Mrs. Jordan Moore, LICSW

Individual provider Clinical Social Worker · NPI 1932552478

Mrs. Jordan Moore, LICSW is a Clinical Social Worker in Somerville, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

40 Holland St
Somerville, MA 02144-2705
Phone: (617) 629-6000
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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 119596 (MA)

Record details

NPI number1932552478
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016

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