Provider Type Icon

LAURA S MOORE LCSW NPI 1619064201


NPI Information

NPI: 1619064201
Provider Name: LAURA S MOORE, LCSW
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
65 OLD SPRINGFIELD RD
LEBANON, KY
ZIP 40033
Phone: (270) 692-2509
Get Directions

Laura S Moore, LCSW is a social worker in Lebanon, KY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Laura S Moore, LCSW NPI is 1619064201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

65 OLD SPRINGFIELD RD
LEBANON, KY
ZIP 40033-185
Phone: (270) 692-2509
Fax: (270) 692-2592

The NPI 1619064201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 3/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerKY-1480KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000495964OTHERKENTUCKYANTHEM
20359099MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 3590
30359297MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 3592
430605018MEDICAIDKENTUCKY
50358697MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 3586
60762242MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 7622
70763540MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 7635
80974713MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 9747
90690945MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 0266
100762340MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 7623
110358797MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 3587
120358898MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 3588
130358999MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGRP 3589

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.