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

Individual provider Clinical Social Worker · NPI 1104663509

Raven-Symone Moten, LCSW is a Clinical Social Worker in Columbus, Ohio. Practices as a sole proprietor. Licensed in Indiana, Michigan and Ohio.

Licensed in
IN, MI, OH
In the registry since
2024
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2947 Daisy Ln
Columbus, OH 43204-2204
Phone: (219) 702-6094
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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 I.2405232 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34011052A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801117240 (MI)

Record details

NPI number1104663509
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

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