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SAMANTHA L MOOG LCSW
NPI 1851803696
Social Worker - Clinical in Columbia, MO

Active since November 02, 2017
807 FAIRVIEW AVE, COLUMBIA, MO 65201(484) 888-5359 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2022, Nov 2, 2017 (2 updates tracked since 2017).

About Samantha L Moog Lcsw NPPES

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

SAMANTHA L MOOG LCSW (NPI 1851803696) is an individual clinical provider in Columbia, Missouri, licensed in Missouri (2020006111) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1851803696
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA L MOOGCredential: LCSW
Location Address807 FAIRVIEW AVEColumbia, MO 65201-4541
Mailing Address807 Fairview AveColumbia, MO 65201-4541 · (484) 888-5359
Phone(484) 888-5359
Sole ProprietorNo
Enumeration DateNovember 2, 2017
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1851803696 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 MO · 2020006111
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.
807 FAIRVIEW AVE, Columbia, MO 65201
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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 Samantha Moog's NPI number?

The NPI number for Samantha Moog is 1851803696. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Samantha Moog located?

Samantha Moog practices at 807 Fairview Ave, Columbia, MO 65201. The listed phone number is (484) 888-5359.

What is Samantha Moog'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 Samantha Moog was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.