NPI 1003575002

Elyza Moore, LICSW

Practitioner Clinical Social Worker Burlington, VT

Practice location

Address: 1138 Pine St, Burlington, VT 05401-5353
Phone: (802) 488-6000
Fax: (802) 488-6919
Mailing address: 102 S Winooski Ave, Burlington, VT 05401-7406

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0124729 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1003575002
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2021
Record last updated: 29 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.