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MS. LISA LYNELLE MOORE MSW, LICSW, PHD
NPI 1336462324
Social Worker - Clinical in Minneapolis, MN

Active since March 05, 2010
2637 27TH AVE S STE 231, MINNEAPOLIS, MN 55406(503) 528-4033 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Lynelle Moore Msw, Licsw, Phd NPPES

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

MS. LISA LYNELLE MOORE MSW, LICSW, PHD (NPI 1336462324) is an individual clinical provider in Minneapolis, Minnesota, licensed in Massachusetts (115630) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1336462324
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA LYNELLE MOORECredential: MSW, LICSW, PHD
Location Address2637 27TH AVE S STE 231Minneapolis, MN 55406-3196
Mailing Address1304 Liberty CtNorthfield, MN 55057-2915 · (503) 528-4033
Phone(503) 528-4033
Sole ProprietorYes
Enumeration DateMarch 5, 2010
Last NPPES UpdateMay 4, 2018
✔ NPI 1336462324 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 MA · 115630
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.
2637 27TH AVE S STE 231, Minneapolis, MN 55406
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Other Providers at the Same Location NPPES 3

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

REALIZE MORE: PSYCHOTHERAPY, CONSULTATION, AND COACHING
Community/Behavioral Health
2637 27TH AVE S STE 231
MINNEAPOLIS, MN 55406
Hennepin County (503) 528-4033
BYSTROM COUNSELING AND CONSULTATION
Social Worker (Clinical)
2637 27TH AVE S STE 231
MINNEAPOLIS, MN 55406
Hennepin County (612) 499-3508
ARAME UNLIMITED
Social Worker (Clinical)
2637 27TH AVE S STE 231
MINNEAPOLIS, MN 55406
Hennepin County (612) 229-3332

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 Lisa Moore's NPI number?

The NPI number for Lisa Moore is 1336462324. It was assigned to this individual provider in the NPPES registry on March 5, 2010.

Where is Lisa Moore located?

Lisa Moore practices at 2637 27th Ave S Ste 231, Minneapolis, MN 55406. The listed phone number is (503) 528-4033.

What is Lisa 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 Lisa Moore was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.