PATRICE WALLACE-MOORE LCSW
NPI 1528187622
Social Worker - Clinical in Carmel, NY

Active since March 28, 2007
75 SEMINARY HILL RD, CARMEL, NY 10512(800) 989-2676(845) 704-6178 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2023, Mar 16, 2023 (2 updates tracked since 2023).

About Patrice Wallace-moore Lcsw NPPES

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

PATRICE WALLACE-MOORE LCSW (NPI 1528187622) is an individual clinical provider in Carmel, New York, licensed in New York (042966) and active in the NPI registry since March 2007. She maintains a secondary practice location in Carmel.

NPPES Registry Identity

NPI1528187622
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICE WALLACE-MOORECredential: LCSW
Location Address75 SEMINARY HILL RDCarmel, NY 10512-1921
Mailing Address79 Glenridge RdGlenville, NY 12302-4523
Fax(845) 704-6178
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
NPI 1528187622 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 NY · 042966
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.
75 SEMINARY HILL RD, Carmel, NY 10512

Secondary Practice Location 1

Location 121 Old Route 6Carmel, NY 10512-2107 · Phone (845) 225-5202 · Fax (845) 225-0700

Other Identifiers 1

Medicaid01420795NY

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.

Social Worker (Clinical)
75 SEMINARY HILL RD
CARMEL, NY 10512
Nurse Practitioner (Psychiatric/Mental Health)
75 SEMINARY HILL RD
CARMEL, NY 10512
Counselor (Addiction (Substance Use Disorder))
75 SEMINARY HILL RD
CARMEL, NY 10512
Physician Assistant (Medical)
75 SEMINARY HILL RD
CARMEL, NY 10512
Social Worker (Clinical)
75 SEMINARY HILL RD
CARMEL, NY 10512
Counselor (Addiction (Substance Use Disorder))
75 SEMINARY HILL RD
CARMEL, NY 10512
Registered Nurse
75 SEMINARY HILL RD
CARMEL, NY 10512
Registered Nurse
75 SEMINARY HILL RD
CARMEL, NY 10512

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 Patrice Wallace-moore's NPI number?

The NPI number for Patrice Wallace-moore is 1528187622. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Patrice Wallace-moore located?

Patrice Wallace-moore practices at 75 Seminary Hill Rd, Carmel, NY 10512. The listed phone number is (800) 989-2676.

What is Patrice Wallace-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 Patrice Wallace-moore was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.