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

Mrs. Lisa Renee Moore, LCSW

Individual provider Clinical Social Worker · NPI 1922778935

Mrs. Lisa Renee Moore, LCSW is a Clinical Social Worker in Charleston, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

3005 Teasdale Rd
Charleston, MS 38921-9576
Phone: (662) 809-0208
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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 C2276 (MS)

Record details

NPI number1922778935
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021