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

Patrice Wallace-Moore, LCSW

Individual provider Clinical Social Worker · NPI 1528187622

Patrice Wallace-Moore, LCSW is a Clinical Social Worker in Carmel, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

75 Seminary Hill Rd
Carmel, NY 10512-1921
Phone: (800) 989-2676
Fax: (845) 704-6178
Show map & directions

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

Additional practice locations (1)

  • 21 Old Route 6, Carmel, NY 10512-2107 — (845) 225-5202

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 042966 (NY)

Record details

NPI number1528187622
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Other providers in Carmel