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

Stephanike Moore, LCSW-C

Individual provider Clinical Social Worker · NPI 1629679352

Stephanike Moore, LCSW-C is a Clinical Social Worker in Baltimore, Maryland. Qualified in 2015, 11 years ago. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2020

Practice location Address checks out

3771 Ravenwood Ave
Baltimore, MD 21213-2021
Phone: (443) 801-7380
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22709 (MD)

Record details

NPI number1629679352
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Baltimore