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

Individual provider Clinical Social Worker · NPI 1710208848

Benjamin Virlow Moore, CSW is a Clinical Social Worker in Price, Utah. Qualified in 2009, 17 years ago. Practices with Bear River Mental Health Services Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2010
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Practice location Address checks out

575 E 100 S
Price, UT 84501
Phone: (435) 637-2358
Fax: (435) 637-9141
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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 6396608-3502 (UT)

Record details

NPI number1710208848
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorNo
NPI enumeratedJune 11, 2010
Last updated in NPPESJune 11, 2010
Mailing addressPo Box 867, 105 West 100 North, Price, UT 84501

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bear River Mental Health Services Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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