Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tyra Moore, LICSW, LCSW-C

Individual provider Clinical Social Worker · NPI 1720538911

MS. Tyra Moore, LICSW, LCSW-C is a Clinical Social Worker in Lanham, Maryland. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2016
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

9332 Annapolis Rd #309
Lanham, MD 20706-3113
Phone: (301) 710-9400
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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 14343 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC50078473 (DC)

Record details

NPI number1720538911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW-C
Sole proprietorYes
NPI enumeratedOctober 11, 2016
Last updated in NPPESOctober 11, 2016

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