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

Individual provider Clinical Social Worker · NPI 1609912294

Penelope Anne Moore, MAMEDMSWLICSW is a Clinical Social Worker in Belmont, Massachusetts. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

64 Royal Rd
Belmont, MA 02478
Phone: (617) 489-4439
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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 120302 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 217592 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1801 (MA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 939 (MA)

Record details

NPI number1609912294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAMEDMSWLICSW
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJune 16, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Belmont