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MRS. LISA RENEE MOORE LCSW
NPI 1922778935
Social Worker - Clinical in Charleston, MS

Active since September 20, 2021PECOS Enrolled
3005 TEASDALE RD, CHARLESTON, MS 38921(662) 809-0208 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lisa Renee Moore Lcsw NPPES

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

MRS. LISA RENEE MOORE LCSW (NPI 1922778935) is an individual clinical provider in Charleston, Mississippi, licensed in Mississippi (C2276) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922778935
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA RENEE MOORECredential: LCSW
Location Address3005 TEASDALE RDCharleston, MS 38921-9576
Mailing Address3005 Teasdale RdCharleston, MS 38921-9576 · (662) 809-0208
Phone(662) 809-0208
Sole ProprietorYes
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1922778935 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 MS · C2276
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.
3005 TEASDALE RD, Charleston, MS 38921
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Renee Moore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Mental Health Specialty Group PA
646 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Mississippi enrollment
  • 39 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 38921 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 $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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 Lisa Moore's NPI number?

The NPI number for Lisa Moore is 1922778935. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Lisa Moore located?

Lisa Moore practices at 3005 Teasdale Rd, Charleston, MS 38921. The listed phone number is (662) 809-0208.

What is Lisa Moore's specialty?

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

Is Lisa Moore enrolled in Medicare?

Yes. Lisa Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Moore reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Lisa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Moore accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Lisa Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.