Provider Demographics
NPI:1477761013
Name:MOORE, ROBERT B (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:MOORE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 ONONDAGO ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1123
Mailing Address - Country:US
Mailing Address - Phone:412-401-9641
Mailing Address - Fax:412-376-5300
Practice Address - Street 1:1789 S BRADDOCK AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1842
Practice Address - Country:US
Practice Address - Phone:412-401-9641
Practice Address - Fax:412-376-5300
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker