MRS. SHELLEY LYNN MARYOTT-MOORE LICSW, GMHS, CMHS
NPI 1720103708
Social Worker - Clinical in Longview, WA

Active since March 20, 2007
921-14TH AVE., LONGVIEW, WA 98632(360) 423-0203(360) 423-2311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shelley Lynn Maryott-moore Licsw, Gmhs, Cmhs NPPES

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

MRS. SHELLEY LYNN MARYOTT-MOORE LICSW, GMHS, CMHS (NPI 1720103708) is an individual clinical provider in Longview, Washington, licensed in Washington (LW00007954) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720103708
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHELLEY LYNN MARYOTT-MOORECredential: LICSW, GMHS, CMHS
Location Address921-14TH AVE.Longview, WA 98632
Mailing AddressLower Columbia Mental Health/ccga, 921-14th AvenueLongview, WA 98632 · (360) 423-0203 · Fax (360) 423-2311
Fax(360) 423-2311
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1720103708 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 WA · LW00007954
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.
921-14TH AVE., Longview, WA 98632

Other Identifiers 2

OtherLW00007954WA · Licsw
Medicare ID-Type Unspecified8855729WA

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 Shelley Maryott-moore's NPI number?

The NPI number for Shelley Maryott-moore is 1720103708. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Shelley Maryott-moore located?

Shelley Maryott-moore practices at 921-14th Ave., Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Shelley Maryott-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 Shelley Maryott-moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.