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

Mrs. Mary Wells Moore, MSWLCSW

Individual provider Social Worker · NPI 1386851012

Mrs. Mary Wells Moore, MSWLCSW is a Social Worker in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

3660 Vista 105
St. Louis, MO 63110-2540
Phone: (314) 977-6008
Fax: (314) 977-5134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 000456 (MO)

Record details

NPI number1386851012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWLCSW
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 8, 2007

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