Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881264406 Individual Practitioner Female Practitioner

Maya Rene Moore , LICSW

Social Worker - Clinical • Kelso, WA

Professional Overview & Biography Verified Profile Summary

Maya Moore, LICSW is a registered healthcare professional specializing in Social Worker - Clinical in Kelso, WA. Practice services are available at 1710 ALLEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1710 Allen St

Kelso, WA 986264907

Telephone 3602617020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Kelso, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Kelso, WA (6524 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-12
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WA LW61368575

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Kyler Rahn

Social Worker

NPI 1023857513
Kimberly Anderson , MA

Counselor - Mental Health

NPI 1063286706

Master of Arts

Jayme Fisher

Counselor - Mental Health

NPI 1083156798
NPI 1083468680
Pamela Hamilton , LMHC

Counselor - Mental Health

NPI 1114991353

Licensed Mental Health Counselor

Stephen Maynard , LCSW

Social Worker - Clinical

NPI 1124477393

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated July 12, 2023

Recorded as MAYA MOORE, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2023

Social Worker (License #LW61368575 in WA)

NPI Profile Active June 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2021

Registered at 1710 ALLEN ST, KELSO, WA 986264907 (Tel: 3602617020)

📍
Updated Business Mailing Address June 27, 2021

Registered at PO BOX 34703, SEATTLE, WA 981241703 (Tel: 2067640502)

👤
Provider Name / Credentials Updated June 27, 2021

Recorded as MAYA MOORE, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2021

Counselor (License #SC60882533 in WA)

🟢
Initial NPI Registration & Enumeration June 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Maya Moore. Be the first to share your experience!

Sign in to leave a review for Maya Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881264406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2021
Last Update: July 12, 2023
Sole Proprietor: No

Mailing Address

Po Box 34703

Seattle, WA 981241703

Phone: 2067640502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.