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ANTIONETTE C MOORE LCSW
NPI 1881097699
Social Worker - Clinical in Twentynine Palms, CA

Active since October 07, 2014
5715 UTAH TRL, TWENTYNINE PALMS, CA 92277(760) 367-0730(760) 367-0728 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antionette C Moore Lcsw NPPES

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

ANTIONETTE C MOORE LCSW (NPI 1881097699) is an individual clinical provider in Twentynine Palms, California, licensed in California (79025) and active in the NPI registry since October 2014. She maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1881097699
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANTIONETTE C MOORECredential: LCSW
Location Address5715 UTAH TRLTwentynine Palms, CA 92277-6917
Mailing AddressPo Box 1209Twentynine Palms, CA 92277-0980 · (760) 367-0730
Phone(760) 367-0730
Fax(760) 367-0728
Sole ProprietorNo
Enumeration DateOctober 7, 2014
Last NPPES UpdateOctober 18, 2018
✔ NPI 1881097699 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 CA · 79025
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.
5715 UTAH TRL, Twentynine Palms, CA 92277
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Secondary Practice Location 1

Location 13625 14th StRiverside, CA 92501-3815 · Phone (951) 955-1560

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.

ASHLEY BROOKS MCINTOSH
Counselor (Mental Health)
5715 UTAH TRL
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-9191
HEATHER STRICKLIN AMFT
Marriage & Family Therapist
5715 UTAH TRL
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-9191
MRS. LEA MUNOZ
Social Worker
5715 UTAH TRL
29 PALMS, CA 92277
San Bernardino County (760) 367-9191

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 Antionette Moore's NPI number?

The NPI number for Antionette Moore is 1881097699. It was assigned to this individual provider in the NPPES registry on October 7, 2014.

Where is Antionette Moore located?

Antionette Moore practices at 5715 Utah Trl, Twentynine Palms, CA 92277. The listed phone number is (760) 367-0730.

What is Antionette 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 Antionette Moore was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.