JACLYN GENE MOORE CSW
NPI 1104772045
Social Worker - Clinical in Lexington, KY

Active since March 04, 2026
80 CODELL DR STE 130, LEXINGTON, KY 40509(859) 309-2877 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Gene Moore Csw NPPES

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

JACLYN GENE MOORE CSW (NPI 1104772045) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (259191) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1104772045
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYN GENE MOORECredential: CSW
Location Address80 CODELL DR STE 130Lexington, KY 40509-1177
Mailing Address324 Queensway DrLexington, KY 40502-1007
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
NPI 1104772045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · 259191
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.
80 CODELL DR STE 130, Lexington, KY 40509

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 Jaclyn Moore's NPI number?

The NPI number for Jaclyn Moore is 1104772045. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Jaclyn Moore located?

Jaclyn Moore practices at 80 Codell Dr Ste 130, Lexington, KY 40509. The listed phone number is (859) 309-2877.

What is Jaclyn Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaclyn Moore was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.