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

Individual provider Mental Health Counselor · NPI 1316720220

Kaylee A Moore, LCSW is a Clinical Social Worker in Lyons, New York. Qualified in 2018, 8 years ago. Practices with County of Wayne, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2023
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.

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Practice location Address checks out

1519 Nye Rd
Lyons, NY 14489-9133
Phone: (315) 946-5722
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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 099673-01 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 104856 (NY)

Record details

NPI number1316720220
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice County Of Wayne — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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