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

Blaine Moore, LCSW

Individual provider Clinical Social Worker · NPI 1346388659

Blaine Moore, LCSW is a Clinical Social Worker in Mansfield, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

601 S Main St
Mansfield, TX 76063-3112
Phone: (817) 914-2267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 50464 (TX)

Record details

NPI number1346388659
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address601 S Main St, Mansfield, TX 76063-3112

Other providers in Mansfield