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SERENA KATHRYN MOORE LMSW
NPI 1851729099
Social Worker - Clinical in Garden City, ID

Active since October 25, 2013
5583 N GLENWOOD ST, GARDEN CITY, ID 83714(208) 287-2564(208) 287-2570 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serena Kathryn Moore Lmsw NPPES

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

SERENA KATHRYN MOORE LMSW (NPI 1851729099) is an individual clinical provider in Garden City, Idaho, licensed in Idaho (LMSW-33263) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1851729099
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSERENA KATHRYN MOORECredential: LMSW
Location Address5583 N GLENWOOD STGarden City, ID 83714-1336
Mailing Address5583 N Glenwood StGarden City, ID 83714-1336 · (208) 287-2564 · Fax (208) 287-2570
Phone(208) 287-2564
Fax(208) 287-2570
Sole ProprietorNo
Enumeration DateOctober 25, 2013
✔ NPI 1851729099 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 ID · LMSW-33263
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.
5583 N GLENWOOD ST, Garden City, ID 83714
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Other Identifiers 1

Medicaid1740559541ID

Other Providers at the Same Location NPPES 4

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

ACES, INC
Social Worker
5583 N GLENWOOD ST
GARDEN CITY, ID 83714
Ada County (208) 287-2564
MR. BRADLEY A MILLER M.A. LMSW QSUDP
Social Worker
5583 N GLENWOOD ST
GARDEN CITY, ID 83714
Ada County (208) 287-2564
LIANNA ERICKSON-TREMBATH LCPC, NCC, ACADC
Counselor (Professional)
5583 N GLENWOOD ST
BOISE, ID 83714
Ada County (208) 287-2564
ACES INC.
Community/Behavioral Health
5583 N GLENWOOD ST
GARDEN CITY, ID 83714
Ada County (208) 287-2564

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 Serena Moore's NPI number?

The NPI number for Serena Moore is 1851729099. It was assigned to this individual provider in the NPPES registry on October 25, 2013.

Where is Serena Moore located?

Serena Moore practices at 5583 N Glenwood St, Garden City, ID 83714. The listed phone number is (208) 287-2564.

What is Serena Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Serena Moore was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.