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Matthew Moore, LICSW, LCSW, LISW-CP

Clinical Social Worker in Wake Forest, NC · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558829234

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Registry record

Entity type Individual (Type 1)
Name Matthew Moore
Credential LICSW, LCSW, LISW-CP
Sex Male
Practice address 2006 S Main St Ste 204, Wake Forest, NC, 27587
Phone (360) 844-0462
Enumeration date Mar 12, 2019
Last updated in NPPES Aug 7, 2026

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LW61418510 (WA) Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 14298209-3501 (UT) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C017890 (NC) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 17200 (SC) Secondary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Matthew Moore?
The National Provider Identifier (NPI) for Matthew Moore is 1558829234, a Type 1 (individual) record in the CMS NPPES registry.
Where does Matthew Moore practice?
The practice location on file with NPPES is in Wake Forest, NC. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-07.