MR. KEVIN MOORE MSW, LCSW
NPI 1154452910
Social Worker - Clinical in Goshen, IN

Active since March 07, 2007PECOS Enrolled
313 S 3RD ST, GOSHEN, IN 46526(574) 535-0880(574) 535-0882 Get Directions Write a Review

NPPES record last updated: March 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kevin Moore Msw, Lcsw NPPES

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

MR. KEVIN MOORE MSW, LCSW (NPI 1154452910) is an individual clinical provider in Goshen, Indiana, licensed in Indiana (34005489A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1154452910
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN MOORECredential: MSW, LCSW
Location Address313 S 3RD STGoshen, IN 46526-3709
Mailing AddressPo Box 761North Webster, IN 46555-0761 · (574) 535-0880 · Fax (574) 535-0882
Fax(574) 535-0882
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 24, 2018
✔ NPI 1154452910 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 IN · 34005489A
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.
313 S 3RD ST, Goshen, IN 46526

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Moore Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103997515
PECOS Enrollment IDI20080612000257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
313 S 3RD ST
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
313 S 3RD ST
GOSHEN, IN 46526
Social Worker (Clinical)
313 S 3RD ST
GOSHEN, IN 46526
Social Worker (Clinical)
313 S 3RD ST
GOSHEN, IN 46526
Clinic/Center (Mental Health (Including Community Mental Health Center))
313 S 3RD ST
GOSHEN, IN 46526
Social Worker (Clinical)
313 S 3RD ST
GOSHEN, IN 46526
Social Worker (Clinical)
313 S 3RD ST
GOSHEN, IN 46526
Clinic/Center (Adult Mental Health)
313 S 3RD ST
GOSHEN, IN 46526
Psychologist (Clinical)
313 S 3RD ST
GOSHEN, IN 46526

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 Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1154452910. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Kevin Moore located?

Kevin Moore practices at 313 S 3rd St, Goshen, IN 46526. The listed phone number is (574) 535-0880.

What is Kevin Moore's specialty?

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

Is Kevin Moore enrolled in Medicare?

Yes. Kevin Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Moore reassigns Medicare benefits to Kevin Moore Counseling, LLC (Goshen, IN). The 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 Kevin Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare and 1 other insurer list Kevin Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Moore was last updated on March 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.