Provider Demographics
NPI:1841512100
Name:MOORE, BARBARA C (LCSW)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:C
Last Name:MOORE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6208 SHERMAN TER
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33876-6499
Mailing Address - Country:US
Mailing Address - Phone:203-606-4767
Mailing Address - Fax:
Practice Address - Street 1:6208 SHERMAN TER
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33876-6499
Practice Address - Country:US
Practice Address - Phone:203-606-4767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-012052-2015101YA0400X
CT0064441041C0700X
FLSW 62701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)