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

MS. Lisa Lynelle Moore, MSW, LICSW, PHD

Individual provider Clinical Social Worker · NPI 1336462324

MS. Lisa Lynelle Moore, MSW, LICSW, PHD is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2010
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2637 27th Ave S Ste 231
Minneapolis, MN 55406-3196
Phone: (503) 528-4033
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 115630 (MA)

Record details

NPI number1336462324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW , PHD
Sole proprietorYes
NPI enumeratedMarch 5, 2010
Last updated in NPPESMay 4, 2018

Other providers in Minneapolis