Nydra Moore, LCSW
NPI 1174259287 · Clinical Social Worker · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nydra Moore, LCSW is a Clinical Social Worker provider in Grand Rapids, MI (NPI 1174259287).
Provider details
- NPI number
- 1174259287
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6801120788 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 620 Century Ave Sw Ste 120Grand Rapids, MI 49503-4977Phone: (616) 329-9857
Registry dates
- Enumerated
- 2022-07-29
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Frequently asked questions
- What is Nydra Moore's NPI number?
- Nydra Moore's National Provider Identifier (NPI) is 1174259287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nydra Moore's specialty?
- Nydra Moore is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Nydra Moore located?
- Nydra Moore's practice location on file with NPPES is 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918.
- What is Nydra Moore's phone number?
- The practice phone number listed in the NPPES registry for Nydra Moore is (616) 336-3909.
- Does Nydra Moore accept Medicare?
- Nydra Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nydra Moore's NPI active?
- Yes — Nydra Moore's NPI (1174259287) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.