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

Jaclyn Gene Moore, CSW

Individual provider Clinical Social Worker · NPI 1104772045

Jaclyn Gene Moore, CSW is a Clinical Social Worker in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

80 Codell Dr Ste 130
Lexington, KY 40509-1177
Phone: (859) 309-2877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 259191 (KY)

Record details

NPI number1104772045
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorNo
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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