Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Agnes M Moore, LCSW

Individual provider Clinical Social Worker · NPI 1982712485

Agnes M Moore, LCSW is a Clinical Social Worker in Rochester, New York. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

490 Ridge Rd E
Rochester, NY 14621-1229
Phone: (585) 922-2500
Fax: (585) 922-2664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 045577 (NY)

Record details

NPI number1982712485
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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