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

Alexa Nicole Moore, LCSW

Individual provider Social Worker · NPI 1730808577

Alexa Nicole Moore, LCSW is a Clinical Social Worker in Bloomsburg, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Clover Leaf Counseling Center, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
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

273 E 7th St
Bloomsburg, PA 17815-2853
Phone: (570) 507-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence CW025776 (PA)

Record details

NPI number1730808577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clover Leaf Counseling Center, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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