National Provider Identifier

Liana Moore, LCSW-R

Liana Moore, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lockport, NY and a listed phone number of (716) 433-2484.

NPI 1013013788Lockport, NYClinical Social Worker

Profile Overview

NPI
1013013788
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 16, 2006
Last Updated
October 12, 2021

Practice Location

  • 637 Davison RD
  • Lockport, NY 14094-5339

Phone: (716) 433-2484

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1013013788
Entity Type
Individual
Last Name
Moore
First Name
Liana
Credential
LCSW-R
Provider Other Last Name
Taublieb
Provider Other First Name
Liana
Provider Other Credential Text
MSW
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
637 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5339
Practice Country
US
Practice Phone
(716) 433-2484
Enumeration Date
September 16, 2006
Last Updated
October 12, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 12, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)