1. Home
  2. Directory
  3. California
  4. Fortuna
  5. Social Worker
  6. NPI Profile

GEORGE J MOORE LCSW
NPI 1245517895
Social Worker - Clinical in Fortuna, CA

Active since November 10, 2011PECOS Enrolled
930 S FORTUNA BLVD, FORTUNA, CA 95540(707) 923-2783 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Feb 5, 2020 (2 updates tracked since 2020).

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 Fortuna, California, licensed in California (93051) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Redway, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245517895
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGEORGE J MOORECredential: LCSW
Location Address930 S FORTUNA BLVDFortuna, CA 95540-3009
Mailing AddressPo Box 769Redway, CA 95560-0769 · (707) 923-2783
Phone(707) 923-2783
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 10, 2011
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ 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 CA · 93051✔ Licensed in NY · 082400
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)
930 S FORTUNA BLVD, Fortuna, CA 95540
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 West Coast RdRedway, CA 95560 · Phone (707) 923-2783

Other Identifiers 2

Other02994838NY · Grp Mcd #
OtherBA1047Grp Mcr #

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Redwoods Rural Health Center Inc.
37 mi
Community Health
101 WEST COAST ROAD
Redway, CA 95560
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1235206087 (707) 923-2783

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 95540 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 2

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

REDWOODS RURAL HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
930 S FORTUNA BLVD
FORTUNA, CA 95540
Humboldt County (707) 353-2162
ANTHONY PIROUZ PA-C
Physician Assistant
930 S FORTUNA BLVD
FORTUNA, CA 95540
Humboldt County (707) 923-2783

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 930 S Fortuna Blvd, Fortuna, CA 95540. The listed phone number is (707) 923-2783.

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.

Which organization bills Medicare for George Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Moore reassigns Medicare benefits to Redwoods Rural Health Center Inc. (Redway, CA). 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 George Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for George Moore was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.