Jimmy Moore, MSW,LCSW

Clinical Social Worker · Salem, VA

Individual Active NPI

NPI number 1649232109

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone
(540) 983-1018
Fax
(540) 224-1932

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NPI record

NPI
1649232109
Entity type
Individual (Type 1)
Enumeration date
April 3, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 0904002321 VA

Mailing address

172 Forest Dr
Salem, VA 24153-6860
Phone
(540) 389-1219

About Jimmy Moore

Jimmy Moore, MSW,LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1970 Roanoke Blvd, Salem, VA 24153-6404. The NPI number 1649232109 was assigned on April 3, 2006 and the record was last updated on July 13, 2026.

Jimmy Moore lists a license in the registry: #0904002321 (VA) 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 Jimmy Moore, MSW,LCSW?

The NPI number is 1649232109.

What is the phone number of Jimmy Moore?

The phone number listed for the practice location is (540) 983-1018.

Where is Jimmy Moore located?

1970 Roanoke Blvd, Salem, VA 24153-6404.

What is the taxonomy code for Jimmy Moore?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

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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