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

Jason Richard Ellsworth Moore, LSW

Individual provider Social Worker · NPI 1114218864

Jason Richard Ellsworth Moore, LSW is a Social Worker in Ashland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2011
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2233 Rocky Ln
Ashland, OH 44805-4701
Phone: (419) 281-3716
Fax: (419) 281-4605
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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 S.0600769 (OH)

Record details

NPI number1114218864
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedApril 29, 2011
Last updated in NPPESMay 2, 2011

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