Individual provider · Type 1 NPI

Sandi Moore, LCSW

Clinical Social Worker · Idabel, OK

NPI number 1295910685 Active

Practice location

609 E Washington St
Idabel, OK 74745-3319

Mailing address

511 SE Madison St
Idabel, OK 74745-4926

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4145 (OK)
Social Worker 104100000X3530 (OK)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1295910685

Sandi Moore, LCSW's National Provider Identifier is 1295910685, issued on Jan 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idabel, OK. The record was last updated on Jul 27, 2026.