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

Lacy D Moore, LSW

Individual provider Social Worker · NPI 1649056417

Lacy D Moore, LSW is a Social Worker in Quincy, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

612 N 11th St
Quincy, IL 62301-2662
Phone: (217) 224-9484
Fax: (217) 228-8765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150.109929 (IL)

Record details

NPI number1649056417
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address612 N 11th St, Quincy, IL 62301-2662

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