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

Individual provider Clinical Social Worker · NPI 1457133613

Jacquelyn A Moore, LCSW is a Clinical Social Worker in Allen, Texas. Qualified in 2008, 18 years ago. Practices with Assurasource Ltd, a 59-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2023
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

400 N Allen Dr
Allen, TX 75013-2555
Phone: (972) 233-1010
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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 52057 (TX)

Record details

NPI number1457133613
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address708 Harvest Dr, McKinney, TX 75072-5380

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Assurasource Ltd — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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