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GEORGE J MOORE LCSW
NPI 1245517895
Social Worker - Clinical in Brookings, OR

Active since November 10, 2011PECOS Enrolled
1445 SEACREST LN APT 5, BROOKINGS, OR 97415(315) 876-4419(315) 635-1865 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About George J Moore Lcsw NPPES

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

GEORGE J MOORE LCSW (NPI 1245517895) is an individual clinical provider in Brookings, Oregon, licensed in New York (082400) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245517895
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGEORGE J MOORECredential: LCSW
Location Address1445 SEACREST LN APT 5Brookings, OR 97415-8133
Mailing Address1445 Seacrest Ln Apt 5Brookings, OR 97415-8133 · (315) 876-4419 · Fax (315) 635-1865
Phone(315) 876-4419
Fax(315) 635-1865
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 10, 2011
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1245517895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 082400✔ Licensed in CA · 93051
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 080335 (NY)
1445 SEACREST LN APT 5, Brookings, OR 97415
Open in Google Maps ↗

Other Identifiers 2

Other02994838NY · Grp Mcd #
OtherBA1047Grp Mcr #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9739402421
PECOS Enrollment IDI20260326001948
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97415 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 George Moore's NPI number?

The NPI number for George Moore is 1245517895. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Where is George Moore located?

George Moore practices at 1445 Seacrest Ln Apt 5, Brookings, OR 97415. The listed phone number is (315) 876-4419.

What is George Moore's specialty?

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

Is George Moore enrolled in Medicare?

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

What insurance does George Moore accept?

Health plans from Providence Health Plan list George 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 George Moore was last updated on February 5, 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.