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

Individual provider Clinical Social Worker · NPI 1710220991

Justin Moore, LCSW, LICSW is a Clinical Social Worker in Estes Park, Colorado. Practices as a sole proprietor. Licensed in Colorado and Washington.

Licensed in
CO, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

453 E Wonderview Ave Unit 3
Estes Park, CO 80517-8926
Phone: (360) 298-8781
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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 CSW.09929522 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61560900 (WA)

Record details

NPI number1710220991
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedApril 5, 2013
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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