MARY B MOORE LCSW
NPI 1073756540
Social Worker - Clinical in Charlotte, NC

Active since April 14, 2009
6115 PARK SOUTH DR, SUITE 130, CHARLOTTE, NC 28210(704) 552-0116(704) 552-7550 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary B Moore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY B MOORE LCSW (NPI 1073756540) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C006371) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1073756540
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY B MOORECredential: LCSW
Location Address6115 PARK SOUTH DR, SUITE 130Charlotte, NC 28210-3269
Mailing Address6115 Park South Dr, Suite 130Charlotte, NC 28210-3269 · (704) 552-0116 · Fax (704) 552-7550
Fax(704) 552-7550
Sole ProprietorNo
Enumeration DateApril 14, 2009
NPI 1073756540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C006371
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6115 PARK SOUTH DR, Charlotte, NC 28210

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
6115 PARK SOUTH DR, SUITE 130
CHARLOTTE, NC 28210
Psychologist (Clinical)
6115 PARK SOUTH DR, SUITE 130
CHARLOTTE, NC 28210
Psychologist
6115 PARK SOUTH DR, SUITE 130
CHARLOTTE, NC 28210
Physical Therapist
6115 PARK SOUTH DR
CHARLOTTE, NC 28210
Psychologist
6115 PARK SOUTH DR, SUITE 130
CHARLOTTE, NC 28210
Psychologist
6115 PARK SOUTH DR, SUITE 130
CHARLOTTE, NC 28210
Internal Medicine
6115 PARK SOUTH DR, SUITE 100
CHARLOTTE, NC 28210
Psychologist
6115 PARK SOUTH DR, SUITE 130
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Moore's NPI number?

The NPI number for Mary Moore is 1073756540. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Mary Moore located?

Mary Moore practices at 6115 Park South Dr Suite 130, Charlotte, NC 28210. The listed phone number is (704) 552-0116.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.