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

Individual provider Clinical Social Worker · NPI 1578238929

Jeremiah Lee Moen, LCSW is a Clinical Social Worker in Waco, Texas. Qualified in 2019, 7 years ago. Practices with Texas Health Virtual Care, a 37-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2021
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

1600 Providence Dr
Waco, TX 76707-2261
Phone: (254) 313-4500
Fax: (254) 313-4549
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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 67912 (TX)

Record details

NPI number1578238929
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Texas Health Virtual Care — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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