Individual provider · Type 1 NPI

Blaine Moore, LCSW

Clinical Social Worker · Mansfield, TX

NPI number 1346388659 Active

Practice location

601 S Main St
Mansfield, TX 76063-3112

Call (817) 914-2267 Map

Other practice locations

  • 3840 Hulen St, Fort Worth, TX 76107-7277 · (817) 335-3022

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X50464 (TX)

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 1346388659

Blaine Moore, LCSW's National Provider Identifier is 1346388659, issued on Feb 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mansfield, TX. The record was last updated on Aug 6, 2026.