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

Mrs. Latise Moore

Individual provider Clinical Social Worker · NPI 1003467796

Mrs. Latise Moore is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2019.

Licensed in
NC, VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

9336 Kings Parade Blvd Apt 3225
Charlotte, NC 28273-5858
Phone: (757) 535-6678
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 0904010731 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence C012178 (NC)

Record details

NPI number1003467796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019

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