Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SPENCER MOORE LCSW
NPI 1689350753
Social Worker - Clinical in Henderson, NV

Q: What is Spencer Moore's NPI number?

The NPI number for Spencer Moore is 1689350753. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Q: What is Spencer Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Spencer Moore was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.

Active since June 23, 2023PECOS EnrolledAccepts Medicare Assignment

2960 W HORIZON RIDGE PKWY, HENDERSON, NV 89052(702) 405-8088(702) 405-6066 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Apr 4, 2026, Jun 23, 2023 (3 updates tracked since 2023).

On this page

About Mr. Spencer Moore Lcsw NPPES

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

MR. SPENCER MOORE LCSW (NPI 1689350753) is an individual clinical provider in Henderson, Nevada, licensed in Nevada (13104-C) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689350753

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. SPENCER MOORECredential: LCSW

Location Address2960 W HORIZON RIDGE PKWYHenderson, NV 89052-4666

Mailing Address10609 Lessona StLas Vegas, NV 89141-0473 · (951) 323-4093

Phone(702) 405-8088

Fax(702) 405-6066

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 23, 2023

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1689350753 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 NV · 13104-C

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.

2960 W HORIZON RIDGE PKWY, Henderson, NV 89052

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Secondary Practice Location 1

Location 110609 Lessona StLas Vegas, NV 89141-0473 · Phone (702) 381-1854

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Spencer Moore Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284151663

PECOS Enrollment IDI20250508002569

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 Spencer Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changing Minds Psychiatry LLC

15 mi

Mental Health (Including Community Mental Health Center)

911 N BUFFALO DR UNIT 213
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
66 clinicians in this Medicare group

NPI 1821537242 (702) 405-8088

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 89052 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 $57.07 – $173.24

Typical copayment $0.00 (range $14.26 – $43.31)

Most-billed visit code NA

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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 13

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

CHANGING MINDS PSYCHIATRY LLC

Nurse Practitioner (Community Health)