Endia Bianca Moore, csw tcadc
Social Worker, Clinical in Louisville, KY. Individual provider (NPI-1).
NPI number1033909445
StatusActive
Last updated in NPPESMay 8, 2025
Details
- NPI
- 1033909445
- Entity type
- Individual (NPI-1)
- Name
- Endia Bianca Moore
- Credential
- csw tcadc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2025
- Certification date
- May 8, 2025
- Last updated
- May 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 259589 | KY | Yes |
Practice location
1800 W Muhammad Ali Blvd Ste 2cLouisville, KY 40203-1560
Phone 502-384-5149
Mailing address
1800 W Muhammad Ali Blvd Ste 2cLouisville, KY 40203-1560
Phone 502-384-5149
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