Caroline Moore, PH.D., LCSW

Clinical Social Worker · Berkeley, CA

Individual Active NPI

NPI number 1528311404

Practice location

1718 Le Roy Ave
Berkeley, CA 94709-1116
Phone
(602) 430-8306
Fax
(917) 591-7417

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NPI record

NPI
1528311404
Entity type
Individual (Type 1)
Enumeration date
October 17, 2012
Last updated
June 6, 2022
Certified
June 5, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 87033 CA
Clinical Social Worker 1041C0700X 075903-1 NY

Other practice locations (1)

  • 242 E 72nd St, Suite 1A, New York, NY 10021-4574 · (212) 365-0755

About Dr. Moore

Caroline Moore, PH.D., LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1718 Le Roy Ave, Berkeley, CA 94709-1116. The NPI number 1528311404 was assigned on October 17, 2012 and the record was last updated on June 6, 2022.

Dr. Moore lists 2 licenses in the registry: #87033 (CA) for Clinical Social Worker; #075903-1 (NY) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caroline Moore, PH.D., LCSW?

The NPI number is 1528311404.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (602) 430-8306.

Where is Dr. Moore located?

1718 Le Roy Ave, Berkeley, CA 94709-1116.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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