CASSANDRE MOORE LCSW LLC
NPI 1053879874
Social Worker - Clinical in Boise, ID

Q: What is Cassandre Moore Lcsw LLC's NPI number?

The NPI number for Cassandre Moore Lcsw LLC is 1053879874. It was assigned to this organization in the NPPES registry on March 11, 2019.

Q: What is Cassandre Moore Lcsw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 11, 2019

671 E RIVERPARK LN STE 100, BOISE, ID 83706(208) 861-7448 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2020, Mar 11, 2019 (2 updates tracked since 2019).

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About Cassandre Moore Lcsw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRE MOORE LCSW LLC (NPI 1053879874) is a healthcare organization registered as a clinical in Boise, Idaho and active in the NPI registry since March 2019. The organization lists Cassandre Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1053879874

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCASSANDRE MOORE LCSW LLC

Location Address671 E RIVERPARK LN STE 100Boise, ID 83706-4000

Mailing Address999 N Slater CrkBoise, ID 83716-5015 · (208) 861-7448

Phone(208) 861-7448

Organization SubpartNo

Authorized OfficialCassandre MooreOwner · (208) 861-7448

Enumeration DateMarch 11, 2019

Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2020

✔ NPI 1053879874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

671 E RIVERPARK LN STE 100, Boise, ID 83706

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandre Moore Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cassandre Moore Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cassandre Moore, LCSW

Clinical Social Worker

NPI 1154667061

671 E RIVERPARK LN STE 100
Boise, ID 83706

(208) 861-7448

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandre Moore Lcsw LLC's NPI number?

The NPI number for Cassandre Moore Lcsw LLC is 1053879874. It was assigned to this organization in the NPPES registry on March 11, 2019.

Where is Cassandre Moore Lcsw LLC located?

Cassandre Moore Lcsw LLC is located at 671 E Riverpark Ln Ste 100, Boise, ID 83706. The listed phone number is (208) 861-7448.

What is Cassandre Moore Lcsw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cassandre Moore Lcsw LLC enrolled in Medicare?

Yes. Cassandre Moore Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cassandre Moore Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Cassandre Moore Lcsw LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cassandre Moore Lcsw LLC was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.