IndividualActive
George Moore, LCSW
NPI 1245517895 · Clinical Social Worker · Brookings, OR
Provider details
- NPI number
- 1245517895
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 080335 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1445 Seacrest Ln Apt 5
Brookings, OR 97415-8133
Phone: (315) 876-4419
Fax: (315) 635-1865
Street-level locationGet directions
Mailing address
1445 Seacrest Ln Apt 5
Brookings, OR 97415-8133
Registry dates
- Enumerated
- 2011-11-10
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.