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REBECCA MOORE LICSW
NPI 1760222608
Social Worker - Clinical in Minneapolis, MN

Active since May 29, 2024PECOS EnrolledAccepts Medicare Assignment
800 E 28TH ST, MINNEAPOLIS, MN 55407(612) 863-3732 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Rebecca Moore Licsw NPPES

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

REBECCA MOORE LICSW (NPI 1760222608) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (28249) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760222608
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA MOORECredential: LICSW
Location Address800 E 28TH STMinneapolis, MN 55407-3723
Mailing Address3739 Dartmouth DrMinnetonka, MN 55345-1710 · (612) 860-1864
Phone(612) 863-3732
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1760222608 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 MN · 28249
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.
800 E 28TH ST, Minneapolis, MN 55407
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Moore Licsw 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 ID7315482874
PECOS Enrollment IDI20240709004109
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 55407 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

TAYLOR PETERSON OTR/L
Occupational Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
ANDREW RICHARD ERICKSON CRNA
Nurse Anesthetist, Certified Registered
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JOHN HUNN
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (218) 393-6255
DR. BRANDY KOZITZA DNP, APRN, ACCNS-AG
Physical Medicine & Rehabilitation
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-0879
JACQUELINE MARIE GASPERLIN PA-C
Physician Assistant
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JULIA ELIZABETH MCNAUGHTON PT, DPT
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
DONNA A SKOOG NP
Nurse Practitioner (Gerontology)
800 E 28TH ST, H2100
MINNEAPOLIS, MN 55407
Hennepin County (612) 775-3030
ROBERT E MCKLVEEN M.D.
Anesthesiology
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639

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 Rebecca Moore's NPI number?

The NPI number for Rebecca Moore is 1760222608. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Rebecca Moore located?

Rebecca Moore practices at 800 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 863-3732.

What is Rebecca Moore's specialty?

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

Is Rebecca Moore enrolled in Medicare?

Yes. Rebecca Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rebecca Moore was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.